Open AccessSpontaneous nontraumatic subarachnoid hemorrhage without cerebrovascular malformations in a maintenance hemodialysis patient
Author(s) -
R Jayasurya,
Neveda Murugesan,
Rajinder Kumar,
Dutta Ak,
P S Priyamvada,
Rathinam Palamalai Swaminathan,
Sreejith Parameswaran
Publication year - 2015
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.156909
Subject(s) - medicine , hemodialysis , subarachnoid hemorrhage , dialysis , medical prescription , cerebral edema , surgery , intensive care medicine , anesthesia , pharmacology
Nontraumatic subarachnoid hemorrhage (SAH) in a dialysis patient is an uncommon occurrence and is often associated with high mortality. We report for the first time in India, a case of spontaneous nontraumatic, nonaneurysmal SAH without any cerebrovascular malformation in a maintenance hemodialysis patient, following a session of hemodialysis. The dialysis prescription needs to be modified in these patients, in order to prevent worsening of cerebral edema and progression of hemorrhage. Where available, continuous forms of renal replacement therapies, with regional anticoagulation seem to be the best option for such patients, till neurologic stabilization is achieved.