de Paola D, Werneck L C, Mulinari A S, Lafitte A
Arq Neuropsiquiatr. 1980 Sep;38(3):278-86. doi: 10.1590/s0004-282x1980000300008.
A case of a 65 years-old black man with chronic renal failure, treated with chronic haemodialysis, in which a dialysis dementia syndrome developed is reported. In the initial phase the electroencephalogram had the typical burst of sharp and slow waves, waning with haloperidol and diazepam treatment. The withdrawal of this medication induced reappearance of the symptoms and EEG. abnormalities. As soon as the patient came back to the diazepine (potassium clorazepate), the mental symptoms subsided, but few weeks later he died of a cerebral haemorrhage. The electroencephalographic features are described and a brief comment about this disease is made.
报告了一例65岁的黑人男性慢性肾衰竭患者,接受慢性血液透析治疗,出现了透析性痴呆综合征。在初始阶段,脑电图有典型的尖波和慢波暴发,使用氟哌啶醇和地西泮治疗后减弱。停用这种药物导致症状和脑电图异常再次出现。一旦患者重新使用地西泮(氯氮卓钾),精神症状就会消退,但几周后他死于脑出血。描述了脑电图特征并对该疾病作了简要评论。