title: Haemodialysis-induced syncope due to Chiari II malformation.
abstract: Spina bifida (SB) is associated with chronic kidney disease as a result of vesicoureteric reflux. A proportion of patients progress to end-stage kidney disease (ESKD). Haemodialysis (HD) is probably the most common modality in ESKD, as intra-abdominal malformations and previous surgery can make peritoneal dialysis more challenging. The Chiari malformations also frequently occur in these patients. We report a case of recurrent syncope induced by HD in a patient with SB and the Chiari II malformation. Sparse data exist on the complications of HD in this patient population and on the approach to the management of dialysis-induced syncope in these individuals.
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: Donal J
authors.initials: DJ
authors.lastname: Sexton
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: Kara M
authors.initials: KM
authors.lastname: Vaughan
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: Carthage
authors.initials: C
authors.lastname: Moran
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: William D
authors.initials: WD
authors.lastname: Plant
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Clarkson
authors.affiliation: Department of Renal Medicine, Cork University Hospital, Cork, Ireland.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Eustace
keywords: Chiari; dialysis; mannitol; syncope