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Neurological consults on the renal unit
Dearbhla M Kelly1,2, Michael R Clarkson2, Simon Cronin3,4
1Department of Neurology, Cork University Hospital, Cork, Ireland.
Practical Neurology
|January 26, 2017
Summary
Chronic kidney disease (CKD) frequently causes neurological symptoms and complicates neurological condition treatments. This review uses clinical cases to explore CKD
Area of Science:
- Nephrology
- Neurology
- Clinical Pharmacology
Background:
- Neurological symptoms are common in patients with chronic kidney disease (CKD).
- CKD and its treatments can cause or exacerbate neurological issues.
- Impaired kidney function necessitates careful management of neurological conditions.
Purpose of the Study:
- To highlight the complex interplay between chronic kidney disease and neurological conditions.
- To illustrate challenges in managing neurological disorders in CKD patients.
- To emphasize the need for tailored treatment strategies in renal impairment.
Main Methods:
- Review of existing literature on CKD and neurological complications.
- Presentation of six illustrative clinical vignettes.
- Analysis of treatment considerations and cautions in renal replacement therapy.
Main Results:
- Neurological symptoms are a significant concern in CKD.
- Renal function significantly impacts the management of neurological diseases.
- Dose adjustments and timing are critical, especially with renal replacement therapy.
Conclusions:
- Effective management requires understanding the bidirectional relationship between CKD and neurological health.
- Clinical vigilance and individualized treatment plans are essential for patients with both conditions.
- Further research is needed to optimize therapeutic approaches for this complex patient population.
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