Epidural Hematoma Following Hemodialysis in a Methanol Poisoned Patient; a Case Report.
Brain injury associated with methanol toxicity can be ischemic, necrotic or hemorrhagic in nature. It most commonly affects the putamen area bilaterally; however, it can be seen in other locations. This report describes a 22-year-old intoxicated patient who developed an epidural hematoma following hemodialysis. Heparinization during hemodialysis may contribute to cerebral hemorrhagic complications in methanol poisoning. In addition, a history of head trauma may raise the incidence of post-hemodialysis hemorrhagic brain insults. Heparin-free dialysis or peritoneal dialysis can be a good option in these cases.
Department of Emergency medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Payman
P
Moharamzadeh
Department of Emergency medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Farzad
F
Rahmani
Department of Emergency medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Mahboob
M
Pouraghaei
Department of Emergency Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
Hanieh
H
Ebrahimi Bakhtavar
Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Ehsan
E
Mohammadzadeh Abachi
Hemodialysis; alcoholic intoxication; epidural hematoma; methanol