title: [Spontaneous epidural hematoma in a patient undergoing hemodialysis: a case report].
abstract: 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.
authors.affiliation: Department of Neurosurgery, Institute of Neurosciences, St. Mary's Hospital, 422 Tsubukuhon-machi, Kurume, Fukuoka 830-0047, Japan.
authors.forename: Shoko
authors.initials: S
authors.lastname: Shimokawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Shigetaka
authors.initials: S
authors.lastname: Anegawa
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakashima
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Setsuko
authors.initials: S
authors.lastname: Nakagawa
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Furukawa
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Sugiyama
authors.forename: Harumichi
authors.initials: H
authors.lastname: Higashi
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Hori
mesh_terms: 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*