Subdural hematoma in a patient on continuous ambulatory peritoneal dialysis.
A patient on continuous ambulatory peritoneal dialysis developed a subdural hematoma. This problem is common among hemodialysis patients but is rare in patients on peritoneal dialysis, possibly because peritoneal dialysis offers protective advantages, including the lack of anticoagulation, better control of hypertension and milder fluid shifts leading to diminished changes in brain volume. Recently described changes in vascular structures in polycystic kidney disease may contribute to the risk of subdural hematoma in these patients.
Department of Medicine, University of Arkansas for Medical Sciences, Little Rock 72205.
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D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D007690:Polycystic Kidney Diseases / Q000628:therapy; D012307:Risk Factors