Leukoencephalopathy associated with dialysis disequilibrium syndrome.
Dialysis disequilibrium syndrome (DDS) is usually seen in severely uremic patients who are dialyzed aggressively. DDS mostly appeared within 24 hours after hemodialysis (HD) and may last for a few hours. This diagnosis is made by the exclusion of other causes including metabolic and intracranial events and has been recognized for more than 40 years. Few reports described the cerebral radiographic features associated with DDS. We present an 83-year-old uremic patient experiencing DDS at initial HD. DDS-related cerebral radiographic manifestations reported in the literature are reviewed, along with a discussion of the role of neuroimaging in the diagnosis of DDS.
Chang
Chih-Hung
CH
Section of Nephrology, Department of Internal Medicine, Chang Gung Memorial Hospital--Kaohsiung Medical Center and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Hsu
Kao-Tai
KT
Lee
Chih-Hsiung
CH
Lee
Yu-Chang
YC
Chiou
Terry Ting-Yu
TT
Chuang
Chung-Hua
CH
Lee
Chien-Te
CT
Wang
I-Kuan
IK
Cheng
Yu-Fan
YF
Lu
Cheng-Hsien
CH
Kuo
Chien-Chun
CC
Chuang
Feng-Rong
FR
D000369:Aged, 80 and over; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology*; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D009325:Nausea / Q000209:etiology*; D006435:Renal Dialysis / Q000009:adverse effects*; D012640:Seizures / Q000209:etiology*; D013577:Syndrome; D014839:Vomiting / Q000209:etiology*