Document Detail

Simultaneous onset of haemorrhagic and ischaemic strokes in a haemodialysis patient.
MedLine Citation:
PMID:  11971064     Owner:  NLM     Status:  MEDLINE    
Primary brain haemorrhage and infarction only very rarely occur simultaneously. A patient with end stage renal disease from diabetic nephropathy suddenly had motor aphasia and horizontal nystagmus soon after finishing haemodialysis. Neuroradiological studies showed a haematoma on the right side of the pons and an infarct in the left frontal lobe with occlusion of the left internal carotid artery. Specific conditions of the haemodialysis--including anticoagulant use, relative hypovolaemia and hypertension just before haemodialysis, and an abrupt decrease in blood pressure during haemodialysis--seemed to be the major reason for the simultaneous onset of dual strokes.
K Toyoda; Y Kumai; K Fujii; T Ando; S Ibayashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurology, neurosurgery, and psychiatry     Volume:  72     ISSN:  0022-3050     ISO Abbreviation:  J. Neurol. Neurosurg. Psychiatr.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-04-23     Completed Date:  2002-05-22     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  2985191R     Medline TA:  J Neurol Neurosurg Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  673-4     Citation Subset:  IM    
Stroke Centre, Fukuoka Red Cross Hospital, Fukuoka, Japan.
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MeSH Terms
Brain Ischemia / etiology*,  pathology
Carotid Artery, Internal / pathology
Cerebral Hemorrhage / etiology*,  pathology
Hematoma / complications
Hypertension / etiology
Kidney Failure, Chronic / complications*,  therapy
Renal Dialysis / adverse effects*
Stroke / etiology*,  pathology

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