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June 1972

Subdural Hematoma During Long-Term Hemodialysis

Author Affiliations

Groningen, The Netherlands
From the departments of neuroradiology, neurology, neurosurgery, and hemodialysis, University Hospital, Groningen, The Netherlands.

Arch Neurol. 1972;26(6):513-516. doi:10.1001/archneur.1972.00490120053005

Two examples of subdural hematoma complicating chronic intermittent dialysis are presented. The administration of anticoagulants seemed to play a significant role, but other factors such as biochemical changes caused by hemodialysis and renal disease may have contributed. Prolonged headache and the appearance of unilateral neurological signs were significant early warnings and helped to differ the presence of a hematoma from the more common neurological changes that sometimes accompany hemodialysis. Carotid angiography definitively established the diagnosis.