Dialysis-induced Subdural Hematoma in an Arachnoid Cyst Associated with Autosomal Dominant Polycystic Kidney Disease

  • Takata Tadayuki
    Department of Intractable Neurological Research, Kagawa University Faculty of Medicine, Japan
  • Kokudo Yohei
    Department of Neurology, Kagawa University Hospital, Japan
  • Kume Kodai
    Department of Neurology, Kagawa University Hospital, Japan
  • Ikeda Kazuyo
    Department of Neurology, Kagawa University Hospital, Japan
  • Kamada Masaki
    Department of Intractable Neurological Research, Kagawa University Faculty of Medicine, Japan
  • Touge Tetsuo
    Department of Health Sciences, Kagawa University Faculty of Medicine, Japan
  • Deguchi Kazushi
    Department of Neurology, Kagawa University Hospital, Japan
  • Masaki Tsutomu
    Department of Gastroenterology, Kagawa University Hospital, Japan

Description

<p>Arachnoid cyst (AC) is a neurological complication of autosomal dominant polycystic kidney disease (ADPKD). Although an AC can increase the risk of a subdural hematoma, the clinical presentation of bleeding into an AC associated with ADPKD is not well known. We herein report the case of a 59-year-old woman in whom the initiation of hemodialysis for renal failure led to AC bleeding. A change of anticoagulant from heparin to nafamostat mesilate allowed dialysis to continue without rebleeding. These findings suggest that hemodialysis in patients with an AC associated with ADPKD may increase the risk of bleeding. Nafamostat mesilate may be useful in such cases. </p>

Journal

  • Internal Medicine

    Internal Medicine 55 (15), 2065-2067, 2016

    The Japanese Society of Internal Medicine

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