RT Journal Article
SR Electronic
T1 Morphologic cerebral changes in patients undergoing dialysis for renal failure.
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 439
OP 441
VO 4
IS 3
A1 Kretzschmar, K
A1 Nix, W
A1 Zschiedrich, H
A1 Philipp, T
YR 1983
UL http://www.ajnr.org/content/4/3/439.abstract
AB Cranial computed tomographic examinations were performed on 22 patients before and after hemodialysis, and on 11 of those patients 8 months later. In 11 cases widening of the cerebrospinal fluid spaces due to brain atrophy was recognizable. Density measurements disclosed decreased absorption of cerebral parenchyma after dialysis in 73% of the cases. This finding is partly explained by cerebral edema or hydration, although the necessary contemporaneous narrowing of cerebrospinal fluid spaces existed in only six patients (27%). Long-term follow-up studies have not displayed any realizable changes in results. Finally, despite striking computed tomographic findings and alterations after dialysis, only mild neurologic symptoms or disequilibrium syndromes have been registered.