Related Experiment Video
Updated: Mar 27, 2026

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats
Published on: March 28, 2025
Intractable dialysis-associated headache: a management dilemma in pediatric hemodialysis
Aviad Schnapp1, Amir Shimonov2, Ari Simckes2
1Pediatric Nephrology Unit, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. aviad.schnapp@hadassah.org.il.
Abstract:
Dialysis-associated headache (DAH) is a common and recognized complication of chronic hemodialysis. We report a diagnostically challenging case of severe intradialytic headache in an adolescent with chronic kidney disease stage 5 and a history of ventriculoperitoneal shunt. A comprehensive evaluation excluded dialysis disequilibrium syndrome, biochemical and hemodynamic contributors, primary headache disorders, infection, vascular pathology, ophthalmologic causes, and shunt malfunction. Subsequent progression of focal neurological findings revealed a diffuse intramedullary spinal cord glioma. This case highlights the limitations of solely attributing refractory DAH to dialysis-related etiologies and underscores the importance of repeated neurological reassessment and multidisciplinary management in pediatric dialysis patients.
Related Concept Videos
Hemodialysis II: Procedure and Complications
Hemodialysis I: Introduction
Acute Kidney Injury V: Interprofessional Care
Hemodialysis III: Nursing Management
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Pharmacokinetics in Pediatric Patients: Drug Excretion

