The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure
Oliguria is one of the clinical hallmarks of renal failure. The broad differential diagnosis is well known, but a rare cause of oliguria is intracranial hypertension (ICH). The actual knowledge to explain this relationship is scarce. Almost all literature is about animals where authors describe the...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2017/2582509 |
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| author | K. Leyssens T. Mortelmans T. Menovsky D. Abramowicz Marcel Th. B. Twickler L. Van Gaal |
| author_facet | K. Leyssens T. Mortelmans T. Menovsky D. Abramowicz Marcel Th. B. Twickler L. Van Gaal |
| author_sort | K. Leyssens |
| collection | DOAJ |
| description | Oliguria is one of the clinical hallmarks of renal failure. The broad differential diagnosis is well known, but a rare cause of oliguria is intracranial hypertension (ICH). The actual knowledge to explain this relationship is scarce. Almost all literature is about animals where authors describe the Cushing reflex in response to ICH. We hypothesize that the Cushing reflex is translated towards the sympathetic nervous system and renin-angiotensin-aldosterone system with a subsequent reduction in medullary blood flow and oliguria. Recently, we were confronted with a patient who had complicated pituitary surgery and displayed multiple times an oliguria while he developed ICH. |
| format | Article |
| id | doaj-art-08ab75c31a2c426494ed9c3854e94109 |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-08ab75c31a2c426494ed9c3854e941092025-02-03T01:26:45ZengWileyCase Reports in Nephrology2090-66412090-665X2017-01-01201710.1155/2017/25825092582509The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial PressureK. Leyssens0T. Mortelmans1T. Menovsky2D. Abramowicz3Marcel Th. B. Twickler4L. Van Gaal5Department of Internal Medicine, University of Antwerp, Antwerp, BelgiumFaculty of Medicine, University of Antwerp, Antwerp, BelgiumDepartment of Neurosurgery, Antwerp University Hospital, Edegem, Antwerp, BelgiumDepartment of Nephrology, Antwerp University Hospital, Edegem, Antwerp, BelgiumDepartment of Endocrinology, Diabetology and Metabolism, Antwerp University Hospital, Edegem, Antwerp, BelgiumDepartment of Endocrinology, Diabetology and Metabolism, Antwerp University Hospital, Edegem, Antwerp, BelgiumOliguria is one of the clinical hallmarks of renal failure. The broad differential diagnosis is well known, but a rare cause of oliguria is intracranial hypertension (ICH). The actual knowledge to explain this relationship is scarce. Almost all literature is about animals where authors describe the Cushing reflex in response to ICH. We hypothesize that the Cushing reflex is translated towards the sympathetic nervous system and renin-angiotensin-aldosterone system with a subsequent reduction in medullary blood flow and oliguria. Recently, we were confronted with a patient who had complicated pituitary surgery and displayed multiple times an oliguria while he developed ICH.http://dx.doi.org/10.1155/2017/2582509 |
| spellingShingle | K. Leyssens T. Mortelmans T. Menovsky D. Abramowicz Marcel Th. B. Twickler L. Van Gaal The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure Case Reports in Nephrology |
| title | The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure |
| title_full | The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure |
| title_fullStr | The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure |
| title_full_unstemmed | The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure |
| title_short | The Cushing Reflex: Oliguria as a Reflection of an Elevated Intracranial Pressure |
| title_sort | cushing reflex oliguria as a reflection of an elevated intracranial pressure |
| url | http://dx.doi.org/10.1155/2017/2582509 |
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