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Unusual aspects of the dialysis disequilibrium syndrome.
Clin Nephrol. 1976 Jul; 6(1):311-4.CN

Abstract

In five patients with chronic renal failure, rapid correction by dialysis of hypertension and/or high blood urea levels provoked acute neurological disorders, followed by slowly reversible neuropsychiatric disturbances. Focal EEG alterations were noted in three patients with normal carotid angiograms. Our cases differed from those usually described as suffering from the dialysis disequilibrium syndrome because of their duration, the severity of mental disturbances, and the asymmetrical pattern of EEG abnormalities. We propose that the symptoms observed could be due to cerebral ischemia. This possibility emphasizes the importance of limiting the duration and efficiency of the first dialyses in patients with severe hypertension and high nitrogen retention, especially if high performance dialyzers are used.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

954237

Citation

Meyrier, A, et al. "Unusual Aspects of the Dialysis Disequilibrium Syndrome." Clinical Nephrology, vol. 6, no. 1, 1976, pp. 311-4.
Meyrier A, Blanc E, Reignier A, et al. Unusual aspects of the dialysis disequilibrium syndrome. Clin Nephrol. 1976;6(1):311-4.
Meyrier, A., Blanc, E., Reignier, A., & Richet, G. (1976). Unusual aspects of the dialysis disequilibrium syndrome. Clinical Nephrology, 6(1), 311-4.
Meyrier A, et al. Unusual Aspects of the Dialysis Disequilibrium Syndrome. Clin Nephrol. 1976;6(1):311-4. PubMed PMID: 954237.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unusual aspects of the dialysis disequilibrium syndrome. AU - Meyrier,A, AU - Blanc,E, AU - Reignier,A, AU - Richet,G, PY - 1976/7/1/pubmed PY - 1976/7/1/medline PY - 1976/7/1/entrez SP - 311 EP - 4 JF - Clinical nephrology JO - Clin Nephrol VL - 6 IS - 1 N2 - In five patients with chronic renal failure, rapid correction by dialysis of hypertension and/or high blood urea levels provoked acute neurological disorders, followed by slowly reversible neuropsychiatric disturbances. Focal EEG alterations were noted in three patients with normal carotid angiograms. Our cases differed from those usually described as suffering from the dialysis disequilibrium syndrome because of their duration, the severity of mental disturbances, and the asymmetrical pattern of EEG abnormalities. We propose that the symptoms observed could be due to cerebral ischemia. This possibility emphasizes the importance of limiting the duration and efficiency of the first dialyses in patients with severe hypertension and high nitrogen retention, especially if high performance dialyzers are used. SN - 0301-0430 UR - https://www.unboundmedicine.com/medline/citation/954237/Unusual_aspects_of_the_dialysis_disequilibrium_syndrome_ L2 - https://medlineplus.gov/childmentalhealth.html DB - PRIME DP - Unbound Medicine ER -