Influence of hemodialysis on intracranial compliance in a chronic renal patience assessed non-invasively: a case report

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v104i2e-226060

Keywords:

Chronic kidney disease, Hemodialysis, Intracranial pressure, Hypotension

Abstract

Chronic kidney disease (CKD) has been increasing globally, with hemodialysis (HD) being the most commonly used treatment. However, HD can lead to episodes of hypotension, affecting cerebral perfusion and intracranial pressure (ICP), potentially compromising cerebral compliance. In this context, non-invasive ICP monitoring becomes a valuable tool for the early detection of such changes. This report describes a 58-year-old patient on HD for three years, whose cerebral compliance was assessed before and after dialysis sessions. A significant reduction in systolic blood pressure (SBP) was observed, possibly influencing ICP dynamics and the P2/P1 ratio. Since HD can cause osmotic imbalances and cardiovascular effects that impact cerebral perfusion, continuous ICP monitoring using non-invasive methods may enhance clinical management and reduce neurological risks in individuals with CKD.

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Published

2025-04-10

Issue

Vol. 104 No. 2 (2025)

Section

Relato de Caso/Case Report

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Copyright (c) 2025 Camille R. Cunha, Flávia P. Pepece, Ana Beatriz M. Castanha, Cristiane Rickli Barbosa, Raquel Teston Furlan, Vinicius Gonçalves Olioze , José Carlos Rebuglio Vellosa

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Pepece, F. P., Olioze, V. G., Castanha, A. B. M., Cunha, C. R. ., Furlan, R. T., Barbosa, C. R., & Vellosa, J. C. R. (2025). Influence of hemodialysis on intracranial compliance in a chronic renal patience assessed non-invasively: a case report. Revista De Medicina, 104(2), e-226060. https://doi.org/10.11606/issn.1679-9836.v104i2e-226060