Hydrocephalus Associated with Minor Intraventricular Hemorrhage in Patient Undergoing Maintenance Hemodialysis

• Eguchi Eriko

  Department of Nephrology, Osaka Saiseikai Nakatsu Hospital

• Tatsumi Shinsui

  Institute for Medical Science of Aging, Aichi Medical University

• Tanaka Atsuo

  Department of Nephrology, Osaka Saiseikai Nakatsu Hospital

• Kuwahara Takashi

  Department of Nephrology, Saiseikai Ibaraki Hospital

抄録

A 72-year-old woman on dialysis acutely developed disturbed consciousness and severe hypertension. Head computed tomography (CT) demonstrated only ventriculomegaly without bleeding. Her consciousness level further deteriorated after dialysis using heparin, and subsequent head CT revealed a new, minor intraventricular hemorrhage. Hemorrhage-associated hydrocephalus was diagnosed, and the installation of a ventriculoperitoneal shunt resulted in good recovery. The patient might have experienced minor repeated bleeding and developed latent post-hemorrhagic hydrocephalus. Even minor bleeding could cause acute exacerbation of hydrocephalus; therefore, clinicians should be alert to hydrocephalus when a dialysis patient develops disturbed consciousness without any evidence of stroke on head CT.

収録刊行物

• Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ

  Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ 15 (1), 63-67, 2014

  一般社団法人 日本プライマリ・ケア連合学会

キーワード

• hydrocephalus
• intraventricular hemorrhage
• hemodialysis
• hypertension
• diabetes mellitus
• heparin

詳細情報

• CRID: 1390282680167037312
• NII論文ID: 130004543706
• DOI: 10.14442/general.15.63
• ISSN: 18836011
• ISSN: 13460072
• Web Site: https://search.jamas.or.jp/link/ui/2015132895
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可