Dialytic Approach in Hemodialysis (HD) Patients with Hydrocephalus
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 15, Issue 4
Abstract
Cognitive dysfunction and neurological disturbances are common in Hemodialysis (HD) patients [1] and may be induced by chronic processes, acute events and a combination of both. Patients starting HD who develop acute neurologic disturbances, though measures to prevent the disequilibrium syndrome [2] were implemented, deserve special attention. Possible acute causes include ischemic and hemorrhagic strokes due to intra-dialytic hypotension, high blood pressure and/or anticoagulation on the background of the increased frequency and severity of diabetes mellitus, hypertension, atherosclerosis, arteriolosclerosis and atrial fibrillation in incident HD patients [3]. Falls, trauma, vascular disease, anticoagulation and polycystic kidney disease predispose to subdural and subarachnoid hematomas [4]. An additional acute cause for neurological symptoms, which is infrequent though reported to be more common in dialysis patients, is hydrocephalus [5]. Acute events at start of hemodialysis due to hydrocephalus may occur in patients with previous diagnosis of hydrocephalus or in previously undiagnosed patients
Authors and Affiliations
David Tovbin, Osama Darawshe
Keywords
Related Articles
- EP ID EP590858
- DOI 10.26717/BJSTR.2019.15.002740
- Views 194
- Downloads 0
Acute 1L-1β Luciferase Signal and Immune Response to Surface Modified Polyurethane-Type Shape Memory Polymers: A Pilot Study
Polyurethane-type Shape Memory Polymers (SMPU) are promising biomaterials due to the ability to change shape by external stimulus. However, SMPU suffer from hydrophobicity and bio-inertness which restricts their possibil...
Serum Level of Anti-CCP in Patients with Active Pulmonary Tuberculosis
Background: Tuberculosis (TB) is a major public-health problem which principally affects the lungs, but may present a variety of rheumatic manifestations, simulating rheumatologic disorders such as rheumatoid arthritis....
Determination of Accurate Dose of ã- Irradiation causing Low-Dose Hyper-Radio-Sensitivity by Using Human Fibroblast Cells
Effects of low-dose radiation (LDR) on living organisms including human is still in argument, in spite of the LDR is ubiquitous in our environment. One prominent phenomenon by the LDR is hyper-radio-sensitivity (HRS). Th...
Research, Evaluation and Sustainability: Reflecting on 15 Years of Experience in Ehealth
In this paper we reflect on 15 years of experience of working on eHealth research and evaluation in the UK. An integrated, interroperable eHealth programme has yet to materialise. The initial promise that eHealth interv...
Mini Review First Report of Plasmopara viticola causing Downy Mildew Disease on Grapevine in Sudan
Grapevine (Vitis vinifera) is the most widely planted fruit crop with 7.5 million hectares grown throughout the world. They are also one of the most management intensive crops in existence [1]. Grapevine has been introdu...