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Spontaneous Epidural Hematoma in a Patient Undergoing Hemodialysis : A Case Report Shoko Shimokawa 1 , Takashi Hayashi 1 , Shigetaka Anegawa 1 , Susumu Nakashima 1 , Kenji Tsutsumi 1 , Setsuko Nakagawa 1 , Yoshihiko Furukawa 1 , Tatsuya Sugiyama 1 , Harumichi Higashi 2 , Yoshiharu Hori 3 1Department of Neurosurgery, Institute of Neurosciences 2Department of Neurosurgery, Institute of Nephrology 3Chikugo Hospital Keyword: spontaneous epidural hematoma , haemodialysis , chronic renal failure pp.163-166
Published Date 2003/2/1
DOI https://doi.org/10.11477/mf.1406100444
  • Abstract
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 A 54-year-old male with chronic renal failure due to diabetic nephropathy suffered dysphagia and left facial spasm without head trauma during a hemodialysis session. CT scan revealed a right acute epidural hematoma. MRI and cerebral angiography did not reveal any abnormalities in the intracranial vasculature. The occurrence of intracranial spontaneous epidural hematoma in a haemodialysis patient has not been reported. During hemodialysis, the intracranial pressure transiently increases and rapidly recovers. It is assumed that the decreasing intracranial pressure caused epidural hematoma.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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