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慢性肾脏病维持性血液透析所致交通性脑积水:一种常见疾病的罕见并发症

Communicating Hydrocephalus as a Consequence of Chronic Kidney Disease on Maintenance Hemodialysis: An Uncommon Complication of a Common Disease.

作者信息

Reddy Siva, Giri Anamika, Pantbalekundri Nikhil, Kumar Sunil, Acharya Sourya

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2022 Jun 22;14(6):e26187. doi: 10.7759/cureus.26187. eCollection 2022 Jun.

Abstract

While many etiologies of hydrocephalus for different age groups have been studied in detail, chronic kidney disease remains rare. We report a case of a 42-year-old male who was a known case of chronic kidney disease on maintenance hemodialysis since seven years. He was brought to the emergency department with a history of altered sensorium and irrelevant talk since the last 4-5 hours and was found to be a case of communicating hydrocephalus with periventricular ooze, as revealed by a computed tomography (CT) of the brain. A ventriculoperitoneal shunt surgery was performed, and the patient ultimately recovered and was discharged.

摘要

虽然针对不同年龄组脑积水的许多病因已进行了详细研究,但慢性肾病导致的脑积水仍然罕见。我们报告一例42岁男性病例,该患者自七年前起就是一名维持性血液透析的慢性肾病患者。他因在过去4至5小时内出现意识改变和胡言乱语被送往急诊科,脑部计算机断层扫描(CT)显示他患有交通性脑积水并伴有脑室周围渗液。随后进行了脑室腹腔分流手术,患者最终康复并出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2141/9305373/5ce223678399/cureus-0014-00000026187-i01.jpg

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