[Spontaneous epidural hematoma in a patient undergoing hemodialysis: a case report].
A 54-year-old male with chronic renal failure due to diabetic nephropathy suffered dysphagia and left facial spasm without head trauma during a hemodialysis session. CT scan revealed a right acute epidural hematoma. MRI and cerebral angiography did not reveal any abnormalities in the intracranial vasculature. The occurrence of intracranial spontaneous epidural hematoma in a haemodialysis patient has not been reported. During hemodialysis, the intracranial pressure transiently increases and rapidly recovers. It is assumed that the decreasing intracranial pressure caused epidural hematoma.
Shimokawa
Shoko
S
Department of Neurosurgery, Institute of Neurosciences, St. Mary's Hospital, 422 Tsubukuhon-machi, Kurume, Fukuoka 830-0047, Japan.
Hayashi
Takashi
T
Anegawa
Shigetaka
S
Nakashima
Susumu
S
Tsutsumi
Kenji
K
Nakagawa
Setsuko
S
Furukawa
Yoshihiko
Y
Sugiyama
Tatsuya
T
Higashi
Harumichi
H
Hori
Yoshiharu
Y
D003928:Diabetic Nephropathies / Q000628:therapy*; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007427:Intracranial Pressure; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*