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Case Report
Journal of Korean Society of Geriatric Neurosurgery 2010;6(1):53-55.
Published online June 30, 2010.
A Pitfall of Treatment in Intracranial Hemorrhage with Underlying Renal Disease
Young-Joon Rho1 , Joon Cho1 , Hong-Gee Roh2 , Young-Il Cho3
1Department of Neurosurgery, 2Radiology, 3Nephrology, Kon-kuk University College of Medicine, Seoul, Korea
Abstract
The management and outcome were investigated in patients with chronic renal failure receiving maintenance blood purification who suffered intracranial hemorrhage. Radiocontrast-induced nephropathy (RCIN) could contribute a serious complication in patients with preexisting renal insufficiency. We experienced a rare case of ICH with preexisting renal cell carcinoma who undergone blood purification. 71-year-old woman suspected renal cell carcinoma in left kidney, presented to our emergency room with a chief complaint of mental change and motor weakness. We underwent stereotactic hematoma removal. After postoperative clinical improvements for 3 days, oliguric acute renal failure was observed. 2 days after hemodialysis, recurrent intracranial bleeding with aggravated edema was revealed and the patient became comatous state. We report a case of aggravated renal function with underlying renal disease after radiocontrast injection.
Key Words: ICHㆍRCINㆍBlood purificationㆍARF
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