Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol

Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol

Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical...

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Main Authors: Anna Curtis, Christian Lamb, Hussain Rao, Andrew Williams, Amit Patel
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2020/8850850
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spelling doaj-c8b38989510d41a78dde251d540ceca72020-11-25T01:25:41ZengHindawi LimitedCase Reports in Nephrology2090-66412090-665X2020-01-01202010.1155/2020/88508508850850Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using MannitolAnna Curtis0Christian Lamb1Hussain Rao2Andrew Williams3Amit Patel4School of Medicine, University of Missouri-Kansas City, Kansas City, MO 64108, USADepartment of Medicine, Brooke Army Medical Center, San Antonio, TX 78234, USASchool of Medicine, University of Missouri-Kansas City, Kansas City, MO 64108, USASchool of Medicine, University of Missouri-Kansas City, Kansas City, MO 64108, USADepartment of Medicine—Division of Nephrology, Truman Medical Center, Kansas City, MO 64108, USADialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical signs and symptoms, as well as imaging findings of herniation after prompt initiation of intravenous mannitol. This is the first known case of reversal and survival of DDS-induced tonsillar herniation using mannitol.http://dx.doi.org/10.1155/2020/8850850
collection DOAJ
language English
format Article
sources DOAJ
author Anna Curtis
Christian Lamb
Hussain Rao
Andrew Williams
Amit Patel
spellingShingle Anna Curtis
Christian Lamb
Hussain Rao
Andrew Williams
Amit Patel
Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
Case Reports in Nephrology
author_facet Anna Curtis
Christian Lamb
Hussain Rao
Andrew Williams
Amit Patel
author_sort Anna Curtis
title Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_short Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_full Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_fullStr Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_full_unstemmed Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_sort dialysis disequilibrium syndrome and cerebellar herniation with successful reversal using mannitol
publisher Hindawi Limited
series Case Reports in Nephrology
issn 2090-6641
2090-665X
publishDate 2020-01-01
description Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical signs and symptoms, as well as imaging findings of herniation after prompt initiation of intravenous mannitol. This is the first known case of reversal and survival of DDS-induced tonsillar herniation using mannitol.
url http://dx.doi.org/10.1155/2020/8850850
work_keys_str_mv AT annacurtis dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
AT christianlamb dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
AT hussainrao dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
AT andrewwilliams dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
AT amitpatel dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
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