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HEMODİYALİZ HASTASINDA GELİŞEN SPONTAN KRONİK SUBDURAL HEMATOM: OLGU SUNUMU

CHRONIC SUBDURAL HEMATOMA OCCURED IN A HEMODIALYSIS PATIENTS : CASE REPORT

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Abstract (2. Language): 
Chronic subdural hematoma is a seldom event in hemodialysis patients. In this article spontaneous chronic subdural hematoma occurred in a hemodialysis patient of 61 year-old-male was reported. He had a headache history for last one month but without any history of trauma or chronic anticoagulant treatment. The neurological and all other examination findings, and prothrombin time, and activated partial thromboplastin time were found normal. Cranial compoterized tomography (CT) scan showed a heterogenous-density hematoma at the right tempora-parietal convexity. At the same day, the aspiration and irrigation was made by a right-sided burr hole. During postoperative period, neurological examination was normal, and hemodialysis sessions were performed without heparin. Although neurological examination was normal in hemodialysis cases with chronic headache cranial CT should be performed
Abstract (Original Language): 
Hemodiyaliz, hastalarında kronik subdural hematom az, görülen bir olaydır. Bu makalede spontan kronik subdural hematom gelişen 61 yaşındaki erkek hemodiyaliz, hastası rapor edilmiştir. Hikayesinde son bir aydır başağrısı mevcut olan hastanın öyküsünde travma veya kronik antikoagulan kullanımı yoktu. Hastanın nörolojik muayene, protrombin zamanı ve aktif tromboplastin zamanı normal bulundu. Kraniyal komputerize tomografisinde (BT) sağ tempora-pariyatal bölgede heterojen dansitede hematom tespit edildi. Aynı gün sağ taraftan "burr holl" açılıp hematom boşaltılıp yıkandı. Operasyondan sonra nörolojik muayenesi normal bulundu ve hasta heparinsiz olarak diyalize alındı. Her ne kadar kronik başağrısı olan hemodiyaliz, hastalarında nörolojik muayene normal olsa bile kraniyal BT yapılmalıdır.
FULL TEXT (PDF): 
185-186

REFERENCES

References: 

1. Weigert AL, Schafer Al. Uremic bleeding: pathogenesis and therapy. Am J Med Sci 1998;316 (2):94-104.
2. Burn Dj, Bates D. Neurology and the kidney. J Neurol
Neurosurg Psychiatry 1998;65(6):810-21.
3. Sterna W, Jaimuzek P. Chronic subdural hematoma with psychopathological manifestations. Psychiatry Pol 1999:33 (6):933-8.
4. Kwon TH, Park YK, Lim DJ, et al. Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume. J Neurosurg 2000;93 (5):796-9.
5. Takeda K, Harada A, Okuda S, et al. Sudden death in chronic dialysis patients. Nephrol Dial Transplant 1997;12(5):952-5.
6. Tietjan DP, Moore J Jr, Gouge SF. Hemodialysis-associated acute subdural hematoma. Am J Nephrol 1987;7(6):478-81.
7. Inzelberg R, Neufeld MY, Reider I, Gari P. Non surgical treatment of subdural hematoma in a hemodialysis patient. Clin Neurol Neurosurg 1989;91 (l):85-9.
8. Wheeler RP. Subdural hematoma in a patient on continuous ambulatory peritoneal dialysis. Am J Med Sci 1987;294(6):448-50.
9. Ernestus RI, Beldzinski P, Lanfermann H, Klug N. Chronic subdural hematoma: surgical treatment and
outcome in 104 patients. Surg Neurol 1997;48(3):220-5.
10. Parlato C, Guarracino A, Moraci A. Spontaneus resolution of chronic subdural hematoma. Surg Neurol 2000;53(4):312-5.

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