Recovery of severe dialysis disequilibrium syndrome with uncal herniation following therapy with mannitol, hyperventilation and hypertonic saline

Kuan Hung Liu, Shao Hua Lee, Wei Ren Lin, Yau Sheng Tsai, Junne Ming Sung

研究成果: Article同行評審

1 引文 斯高帕斯(Scopus)

摘要

Dialysis disequilibrium syndrome (DDS) is a rare complication of dialysis, especially with the general application of preventive strategies. Severe DDS with brain herniation is believed to be fatal. We present a patient presenting with bilateral uncal herniation after receiving two dialysis sessions with low-efficiency settings. Serial brain magnetic resonance imaging studies showed the temporal evolution of DDS-induced cerebral edema. With aggressive treatment of hypertonic saline and mannitol, the patient made a remarkable recovery. This case highlights that we should be cautious about this severe complication of dialysis even with preventive strategies, and recovery is possible with prompt recognition and treatment.

原文English
頁(從 - 到)165-167
頁數3
期刊CKJ: Clinical Kidney Journal
15
發行號1
DOIs
出版狀態Published - 2022 1月 1

All Science Journal Classification (ASJC) codes

  • 腎臟病學
  • 移植

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