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Dialysis disequilibrium leading to posterior reversible encephalopathy syndrome in chronic renal failure

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Abstract

Dialysis disequilibrium syndrome is a neurological adverse effect of acute hemodialysis in advanced uremic patients. Dialysis disequilibrium has a wide spectrum of clinical manifestations starting from subtle uneasiness, confusion, to florid and complex life threatening neurological deficit. In this case study, we present a patient who developed sudden cortical blindness following hemodialysis due to posterior reversible encephalopathy, which is a rare presentation of dialysis disequilibrium syndrome.

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References

  1. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494–500.

    Article  CAS  PubMed  Google Scholar 

  2. Garg RK. Posterior leukoencephalopathy syndrome. Postgrad Med J. 2001;77:24–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Gokce M, Dogan E, Nacitarhan S, Demirpolat G. Posterior reversible encephalopathy syndrome caused by hypertensive encephalopathy and acute uremia. Neurocrit Care. 2006;4:133–6.

    Article  PubMed  Google Scholar 

  4. Ergün T, Lakadamyali H, Yilmaz A. Recurrent posterior reversible encephalopathy syndrome in a hypertensive patient with end-stage renal disease. Diagn Interv Radiol. 2008;14:182–5.

    PubMed  Google Scholar 

  5. Lee VH, Wijdicks EF, Manno EM, Rabinstein AA. Clinical spectrum of reversible posterior leukoencephalopathy syndrome. Arch Neurol. 2008;65:205–10.

    PubMed  Google Scholar 

  6. Naidu K, Moodley J, Corr P, Hoffmann M. Single photon emission and cerebral computerised tomographic scan and transcranial doppler sonographic findings in eclampsia. Br J Obstet Gynaecol. 1997;104:1165–72.

    Article  CAS  PubMed  Google Scholar 

  7. Vaughan CJ, Delanty N. Hypertensive emergencies. Lancet. 2000;356:411–7.

    Article  CAS  PubMed  Google Scholar 

  8. Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJRN. 2008;29:1036–42.

    CAS  Google Scholar 

  9. Patel N, Dalal P, Panesar M. Dialysis disequilibrium syndrome: a narrative review. Semin Dial. 2008;21:493–8.

    Article  PubMed  Google Scholar 

  10. Sheth KN, Wu GF, Messé SR, Wolf RL, Kasner SE. Dialysis disequilibrium: another reversible posterior leukoencephalopathy syndrome? Clin Neurol Neurosurg. 2003;105:249–52.

    Article  PubMed  Google Scholar 

  11. Soomro A, Al Bahri R, Alhassan N, Hejaili FF, Al Sayyari AA. Posterior reversible encephalopathy syndrome with tactile hallucinations secondary to dialysis disequilibrium syndrome. Saudi J Kidney Dis Transpl. 2014;25(3):625–9.

    Article  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Nephrology, ILS Hospital, 1, Mall Road, Near Nager Bazar Flyover, Dum Dum, Kolkata, 700080, India

    Pratim Sengupta

  2. ILS Hospital, 1, Mall Road, Near Nager Bazar Flyover, Dum Dum, Kolkata, 700080, India

    Sumanta Biswas

  3. Flat No-4c, Block-A, AMRAPALI, 29/10 Harey Krishna Seth Lane, P.O- Sinthee, Kolkata, West Bengal, 700050, India

    Pratim Sengupta

Authors
  1. Pratim Sengupta
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  2. Sumanta Biswas
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Correspondence to Pratim Sengupta.

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Sengupta, P., Biswas, S. Dialysis disequilibrium leading to posterior reversible encephalopathy syndrome in chronic renal failure. CEN Case Rep 5, 154–157 (2016). https://doi.org/10.1007/s13730-016-0215-4

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  • DOI: https://doi.org/10.1007/s13730-016-0215-4

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