Dialysis-induced Subdural Hematoma in an Arachnoid Cyst Associated with Autosomal Dominant Polycystic Kidney Disease
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- Takata Tadayuki
- Department of Intractable Neurological Research, Kagawa University Faculty of Medicine, Japan
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- Kokudo Yohei
- Department of Neurology, Kagawa University Hospital, Japan
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- Kume Kodai
- Department of Neurology, Kagawa University Hospital, Japan
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- Ikeda Kazuyo
- Department of Neurology, Kagawa University Hospital, Japan
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- Kamada Masaki
- Department of Intractable Neurological Research, Kagawa University Faculty of Medicine, Japan
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- Touge Tetsuo
- Department of Health Sciences, Kagawa University Faculty of Medicine, Japan
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- Deguchi Kazushi
- Department of Neurology, Kagawa University Hospital, Japan
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- Masaki Tsutomu
- Department of Gastroenterology, Kagawa University Hospital, Japan
Abstract
<p>Arachnoid cyst (AC) is a neurological complication of autosomal dominant polycystic kidney disease (ADPKD). Although an AC can increase the risk of a subdural hematoma, the clinical presentation of bleeding into an AC associated with ADPKD is not well known. We herein report the case of a 59-year-old woman in whom the initiation of hemodialysis for renal failure led to AC bleeding. A change of anticoagulant from heparin to nafamostat mesilate allowed dialysis to continue without rebleeding. These findings suggest that hemodialysis in patients with an AC associated with ADPKD may increase the risk of bleeding. Nafamostat mesilate may be useful in such cases. </p>
Journal
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- Internal Medicine
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Internal Medicine 55 (15), 2065-2067, 2016
The Japanese Society of Internal Medicine
