Intracranial pressure fluctuation during hemodialysis in renal failure patients with intracranial hemorrhage

C. M. Lin, J. W. Lin, J. T. Tsai, C. P. Ko, K. S. Hung, C. C. Hung, Yu-Kai Su, L. Wei, W. T. Chiu, Liang Ming Lee

研究成果: 書貢獻/報告類型章節

38 引文 斯高帕斯(Scopus)


Coagulopathy in renal failure patients often makes them vulnerable to intracranial hemorrhage. Emergency decompression to remove the hematoma and to stop bleeding is always indicated. After the surgery, hemodialysis (HD) should be arranged to maintain the BUN/Cr. level, and I/O balance. During HD, intracranial pressure in all of the patients in this study fluctuated. This phenomenon always resulted in neurological deterioration in acute or chronic renal failure. We present intracranial pressure (ICP) changes during HD in five acute or chronic renal failure patients with intracranial hemorrhage. They all underwent craniectomy or craniotomy with ICP monitors implantation. Different HD protocols were arranged for these patients and then we observed clinical results. ICP elevated during HD and resulted in severe brain swelling. This situation was one of the clinical presentations of dialysis disequilibrium syndrome (DDS). Four patients died because of this complication and one survived. ICP fluctuation seemed to be correlated with the fluid amount and frequency of HD. The prevalence and pathophysiology of DDS remain unclear. Renal failure patient with intracranial hemorrhage may be complicated with DDS when HD was performed. An attempt to reduce the fluid amount and to increase the frequency of HD might help these patients.

主出版物標題Reconstructive Neurosurgery
發行者Springer-Verlag Wien
出版狀態已發佈 - 1月 1 2008


名字Acta Neurochirurgica, Supplementum

ASJC Scopus subject areas

  • 手術
  • 神經病學(臨床)


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