Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol
Anna Curtis1, Christian Lamb2, Hussain Rao1
1School of Medicine, University of Missouri-Kansas City, Kansas City, MO 64108, USA.
Abstract:
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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