Document Detail

Hemodialysis-associated acute subdural hematoma. Interim management with peritoneal dialysis.
MedLine Citation:
PMID:  3439557     Owner:  NLM     Status:  MEDLINE    
Subdural hematoma is an infrequent occurrence in association with hemodialysis. Because of its rarity, there is no widely accepted method of continuing dialysis in such patients. We describe a case of an interhemispheric subdural hematoma with apparent onset during hemodialysis, after which the patient was successfully managed with peritoneal dialysis for 7 weeks. Following this, hemodialysis was reinstated without recurrent intracranial hemorrhage. The strategy of prompt institution of peritoneal dialysis appears to be useful, and deserves serious consideration for long-term use in patients with subdural hematomas in light of the past record of high mortality with continued hemodialysis. However, it also appears that hemodialysis may be cautiously resumed after an appropriate interval of avoiding anticoagulation.
D P Tietjen; J Moore; S F Gouge
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of nephrology     Volume:  7     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:  1987  
Date Detail:
Created Date:  1988-04-07     Completed Date:  1988-04-07     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  478-81     Citation Subset:  IM    
Department of Medicine, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Ga.
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MeSH Terms
Hematoma, Subdural / radiography*
Kidney Failure, Chronic / complications*,  therapy
Peritoneal Dialysis*
Renal Dialysis*
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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