Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol

Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical...

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Autores principales: Curtis, Anna, Lamb, Christian, Rao, Hussain, Williams, Andrew, Patel, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468602/
https://www.ncbi.nlm.nih.gov/pubmed/32908738
http://dx.doi.org/10.1155/2020/8850850
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author Curtis, Anna
Lamb, Christian
Rao, Hussain
Williams, Andrew
Patel, Amit
author_facet Curtis, Anna
Lamb, Christian
Rao, Hussain
Williams, Andrew
Patel, Amit
author_sort Curtis, Anna
collection PubMed
description Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical signs and symptoms, as well as imaging findings of herniation after prompt initiation of intravenous mannitol. This is the first known case of reversal and survival of DDS-induced tonsillar herniation using mannitol.
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spelling pubmed-74686022020-09-08 Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol Curtis, Anna Lamb, Christian Rao, Hussain Williams, Andrew Patel, Amit Case Rep Nephrol Case Report Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical signs and symptoms, as well as imaging findings of herniation after prompt initiation of intravenous mannitol. This is the first known case of reversal and survival of DDS-induced tonsillar herniation using mannitol. Hindawi 2020-08-25 /pmc/articles/PMC7468602/ /pubmed/32908738 http://dx.doi.org/10.1155/2020/8850850 Text en Copyright © 2020 Anna Curtis et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Curtis, Anna
Lamb, Christian
Rao, Hussain
Williams, Andrew
Patel, Amit
Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_full Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_fullStr Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_full_unstemmed Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_short Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_sort dialysis disequilibrium syndrome and cerebellar herniation with successful reversal using mannitol
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468602/
https://www.ncbi.nlm.nih.gov/pubmed/32908738
http://dx.doi.org/10.1155/2020/8850850
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