Type:
Educational Exhibit
Keywords:
Ischaemia / Infarction, Education and training, Acute, Imaging sequences, Education, Complications, MR, CT, Neuroradiology brain, Kidney, Emergency
Authors:
S. Shaikh, S. M. Faiq, A. Javed Qureshi, B. sheikh; Karachi/PK
DOI:
10.26044/ecr2019/C-2507
Background
Chronic Kidney Disease
Chronic kidney disease (CKD) is increasingly recognized as a major public health problem.
It is indicated by decreased kidney function,
abnormal albumin excretion or,
quantified by estimated glomerular filtration rate that remains for more than three months.
To promote evaluation of severity of CKD,
the National Kidney Foundation developed criteria for its staging which is categorized into five stages of increasing severity.
Hemodialysis:
Hemodialysis is the routinely administered therapy for end-stage renal disease (ESRD) patients.
Although hemodialysis technique has shown improvement in the last decades,
mortality and morbidity of chronic hemodialysed patients is persistently high.
These patients tend to develop neurological complications frequently which often remain undetermined and under treated.
Cerebrovascular manifestations in hemodialysed patients develop for the following reasons:
1) Disease processes leading to end stage renal failure.
2) Secondary to Uremia.
3) Due to hemodialysis itself.
The introduction of dialysis lead to pronounced decrease in the incidence and severity of neurologic complications caused by uremia; however many of these are unaltered by dialysis.
Early detection and diagnosis of cerebrovascular incidents is important for quality of life and prognosis in these patients.