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: Wiley 2020-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2020/8850850
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author Anna Curtis
Christian Lamb
Hussain Rao
Andrew Williams
Amit Patel
author_facet Anna Curtis
Christian Lamb
Hussain Rao
Andrew Williams
Amit Patel
author_sort Anna Curtis
collection DOAJ
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.
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institution Kabale University
issn 2090-6641
2090-665X
language English
publishDate 2020-01-01
publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-c8b38989510d41a78dde251d540ceca72025-02-03T06:43:45ZengWileyCase 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
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
title 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_short Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
title_sort dialysis disequilibrium syndrome and cerebellar herniation with successful reversal using mannitol
url http://dx.doi.org/10.1155/2020/8850850
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AT hussainrao dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
AT andrewwilliams dialysisdisequilibriumsyndromeandcerebellarherniationwithsuccessfulreversalusingmannitol
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