Dialysis disequilibrium syndrome: A narrative review

Seminars in Dialysis

Volumn 21, Issue 5, 2008, Pages 493-498

  Patel, Nilang ^a   Dalal, Pranav ^b   Panesar, Mandip ^a  

^a UNIVERSITY AT BUFFALO   (United States)

^b ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CASE REPORT; CHRONIC KIDNEY FAILURE; HUMAN; MALE; METABOLIC ENCEPHALOPATHY; MIDDLE AGED; RENAL REPLACEMENT THERAPY; SEIZURE; SYNDROME;

BRAIN DISEASES, METABOLIC; HUMANS; KIDNEY FAILURE, CHRONIC; MALE; MIDDLE AGED; RENAL DIALYSIS; SEIZURES; SYNDROME;

EID: 54749105062     PISSN: 08940959     EISSN: 1525139X     Source Type: Journal    
DOI: 10.1111/j.1525-139X.2008.00474.x     Document Type: Article

References (46)

1. Kennedy AC, Linton AL, Eaton JC : Urea levels in cerebrospinal fluid after haemodialysis. Lancet 1 : 410 411, 1962
2. Arieff AI : Dialysis disequilibrium syndrome: current concepts on pathogenesis and prevention. Kidney Int 45 : 629 635, 1994
3. Benna P, Lacquaniti F, Triolo G, Ferrero P, Bergamasco B : Acute neurologic complications of hemodialysis. Study of 14,000 hemodialyses in 103 patients with chronic renal failure. Ital J Neurol Sci 2 : 53 57, 1981
4. Rosen SM, O'Connor K, Shaldon S : Haemodialysis disequilibrium. Br Med J 2 : 672 675, 1964
5. Arieff AI, Massry SG, Barrientos A, Kleeman CR : Brain water and electrolyte metabolism in uremia: effects of slow and rapid hemodialysis. Kidney Int 4 : 177 187, 1973
6. Dossetor JB, Oh JH, Dayes L, Pappius HM : Brain urea and water changes with rapid hemodialysis of uremic dogs. Trans Am Soc Artif Intern Organs 10 : 323 327, 1964
7. Pappius HM, Oh JH, Dossetor JB : The effects of rapid hemodialysis on brain tissues and cerebrospinal fluid of dogs. Can J Physiol Pharmacol 45 : 129 147, 1967
8. Dettori P, La Greca G, Biasioli S, Chiaramonte S, Fabris A, Feriani M, Pinna V, Pisani E, Ronco C : Changes of cerebral density in dialyzed patients. Neuroradiology 23 : 95 99, 1982
9. La Greca G, Biasioli S, Chiaramonte S, Dettori P, Fabris A, Feriani M, Pinna V, Pisani E, Ronco C : Studies on brain density in hemodialysis and peritoneal dialysis. Nephron 31 : 146 150, 1982
10. Chen CL, Lai PH, Chou KJ, Lee PT, Chung HM, Fang HC : A preliminary report of brain edema in patients with uremia at first hemodialysis: evaluation by diffusion-weighted MR imaging. AJNR Am J Neuroradiol 28 : 68 71, 2007
11. Galons JP, Trouard T, Gmitro AF, Lien YH : Hemodialysis increases apparent diffusion coefficient of brain water in nephrectomized rats measured by isotropic diffusion-weighted magnetic resonance imaging. J Clin Invest 98 : 750 755, 1996
12. Silver SM, DeSimone JA Jr, Smith DA, Sterns RH : Dialysis disequilibrium syndrome (DDS) in the rat: role of the "reverse urea effect". Kidney Int 42 : 161 166, 1992
13. Silver SM : Cerebral edema after rapid dialysis is not caused by an increase in brain organic osmolytes. J Am Soc Nephrol 6 : 1600 1606, 1995
14. Fenstermacher JD, Johnson JA : Filtration and reflection coefficients of the rabbit blood-brain barrier. Am J Physiol 211 : 341 346, 1966
15. Silver SM, Sterns RH, Halperin ML : Brain swelling after dialysis: old urea or new osmoles? Am J Kidney Dis 28 : 1 13, 1996
16. Manley GT, Fujimura M, Ma T, Noshita N, Filiz F, Bollen AW, Chan P, Verkman AS : Aquaporin-4 deletion in mice reduces brain edema after acute water intoxication and ischemic stroke. Nat Med 6 : 159 163, 2000
17. Hu MC, Bankir L, Michelet S, Rousselet G, Trinh-Trang-Tan MM : Massive reduction of urea transporters in remnant kidney and brain of uremic rats. Kidney Int 58 : 1202 1210, 2000
18. Trinh-Trang-Tan MM, Geelen G, Teillet L, Corman B : Urea transporter expression in aging kidney and brain during dehydration. Am J Physiol Regul Integr Comp Physiol 285 : R1355 R1365, 2003
19. Trinh-Trang-Tan MM, Cartron JP, Bankir L : Molecular basis for the dialysis disequilibrium syndrome: altered aquaporin and urea transporter expression in the brain. Nephrol Dial Transplant 20 : 1984 1988, 2005
20. Arieff AI, Kleeman CR, Keushkerian A, Bagdoyan H : Brain tissue osmolality: method of determination and variations in hyper- and hypo-osmolar states. J Lab Clin Med 79 : 334 343, 1972
21. Stern WE, Coxon RV : Osmolality of brain tissue and its relation to brain bulk. Am J Physiol 206 : 1 7, 1964
22. Arieff AI, Guisado R, Massry SG, Lazarowitz VC : Central nervous system pH in uremia and the effects of hemodialysis. J Clin Invest 58 : 306 311, 1976
23. Cowie J, Lambie AT, Robson JS : The influence of extracorporeal dialysis on the acid-base composition of blood and cerebrospinal fluid. Clin Sci 23 : 397 404, 1962
24. Mahoney CA, Arieff AI : Central and peripheral nervous system effects of chronic renal failure. Kidney Int 24 : 170 177, 1983
25. Pauli HG, Vorburger C, Reubi F : Chronic derangements of cerebrospinal fluid acid-base components in man. J Appl Physiol 17 : 993 998, 1962
26. Fine RN, Korsch BM, Grushkin CM, Lieberman E : Hemodialysis in children. Am J Dis Child 119 : 498 504, 1970
27. Leonard A, Shapiro FL : Subdural hematoma in regularly hemodialyzed patients. Ann Intern Med 82 : 650 658, 1975
28. Peterson H, Swanson AG : Acute encephalopathy occurring during hemodialysis. The reverse urea effect. Arch Intern Med 113 : 877 880, 1964
29. Al-Hilali N, Al-Humoud HM, Ninan VT, Nampoory MR, Ali JH, Johny KV : Profiled hemodialysis reduces intradialytic symptoms. Transplant Proc 36 : 1827 1828, 2004
30. Sadowski RH, Allred EN, Jabs K : Sodium modeling ameliorates intradialytic and interdialytic symptoms in young hemodialysis patients. J Am Soc Nephrol 4 : 1192 1198, 1993
31. Agraharkar M, Martinez MA, Kuo YF, Ahuja TS : Hospitalization for initiation of maintenance hemodialysis. Nephron Clin Pract 97 : c54 c60, 2004
32. Agildere AM, Benli S, Erten Y, Coskun M, Boyvat F, Ozdemir N : Osmotic demyelination syndrome with a dysequilibrium syndrome: reversible MRI findings. Neuroradiology 40 : 228 232, 1998
33. Aydin OF, Uner C, Senbil N, Bek K, Erdogan O, Gurer YK : Central pontine and extrapontine myelinolysis owing to disequilibrium syndrome. J Child Neurol 18 : 292 296, 2003
34. Sheth KN, Wu GF, Messe SR, Wolf RL, Kasner SE : Dialysis disequilibrium: another reversible posterior leukoencephalopathy syndrome? Clin Neurol Neurosurg 105 : 249 252, 2003
35. Basile C, Miller JD, Koles ZJ, Grace M, Ulan RA : The effects of dialysis on brain water and EEG in stable chronic uremia. Am J Kidney Dis 9 : 462 469, 1987
36. Hampl H, Klopp HW, Michels N, Mahiout A, Schilling H, Wolfgruber M, Schiller R, Hanefeld F, Kessel M : Electroencephalogram investigations of the disequilibrium syndrome during bicarbonate and acetate dialysis. Proc Eur Dial Transplant Assoc 19 : 351 359, 1983
37. Sahani M, Daoud T, Sam R, Andrews J, Cheng Y, Kjellstrand C, Ing T : Dialysis disequilibrium syndrome revisited. Hemodial Int 5 : 92 96, 2001
38. Doorenbos CJ, Bosma RJ, Lamberts PJ : Use of urea containing dialysate to avoid disequilibrium syndrome, enabling intensive dialysis treatment of a diabetic patient with renal failure and severe metformin induced lactic acidosis. Nephrol Dial Transplant 16 : 1303 1304, 2001
39. Stiller S, Bonnie-Schorn E, Grassmann A, Uhlenbusch-Korwer I, Mann H : A critical review of sodium profiling for hemodialysis. Semin Dial 14 : 337 347, 2001
40. Liu H, Zhu JL, Chen X : Influence of modeling sodium on the dialysis disequilibrium syndrome in hemodialysis. Hunan Yi Ke Da Xue Xue Bao 28 : 76 78, 2003
41. Tang HL, Wong SH, Chu KH, Lee W, Cheuk A, Tang CM, Kong IL, Fung KS, Tsang WK, Chan HW, Tong KL : Sodium ramping reduces hypotension and symptoms during haemodialysis. Hong Kong Med J 12 : 10 14, 2006
42. Levin A, Goldstein MB : The benefits and side effects of ramped hypertonic sodium dialysis. J Am Soc Nephrol 7 : 242 246, 1996
43. Sang GL, Kovithavongs C, Ulan R, Kjellstrand CM : Sodium ramping in hemodialysis: a study of beneficial and adverse effects. Am J Kidney Dis 29 : 669 677, 1997
44. Rodrigo F, Shideman J, McHugh R, Buselmeier T, Kjellstrand C : Osmolality changes during hemodialysis. Natural history, clinical correlations, and influence of dialysate glucose and intravenous mannitol. Ann Intern Med 86 : 554 561, 1977
45. Raju SF, White AR, Barnes TT, Smith PP, Kirchner KA : Improvement in disequilibrium symptoms during dialysis with low glucose dialyzate. Clin Nephrol 18 : 126 129, 1982
46. Rosa AA, Shideman J, McHugh R, Duncan D, Kjellstrand CM : The importance of osmolality fall and ultrafiltration rate on hemodialysis side effects. Influence of intravenous mannitol. Nephron 27 : 134 141, 1981