title: Acute interhemispheric subdural hematoma due to hemodialysis: case report.
abstract: BACKGROUND
  Acute interhemispheric subdural hematoma (AISH) is an extremely limited complication in patients on maintenance hemodialysis. Diagnostic difficulties result from a fact that symptoms of acute hematoma such as headache, nausea, vomiting, apathy, sleepiness, paresthesia and seizures may also suggest dysequilibrium syndrome, dialytic dementia as well as hypertensive encephalopathy.
  
  
  METHODS
  A case of acute interhemispheric subdural hematoma during long-term dialysis is presented.
  
  
  CONCLUSIONS
  AISH caused by hemodialysis is a very important complication. It is sometimes difficult to differentiate from dysequilibrium or dialysis dementia. Clinicians must pay closer attention on neurological examination of hemodialyzed patient. Surgical treatment must be as prompt as possible because of the possible sudden worsening of the patient's clinical condition.
authors.affiliation: Department of Neurosurgery, Ataturk University Medical School, Erzurum 25070, Turkey. goksinsengul@hotmail.com
authors.forename: Goksin
authors.initials: G
authors.lastname: Sengul
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Tuzun
authors.forename: Hakan Hadi
authors.initials: HH
authors.lastname: Kadioglu
authors.forename: Ismail Hakki
authors.initials: IH
authors.lastname: Aydin
mesh_terms: D000328:Adult; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006435:Renal Dialysis / Q000009:adverse effects*; D051437:Renal Insufficiency / Q000628:therapy