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2026, Number 3

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Med Crit 2026; 40 (3)

Dialysis disequilibrium syndrome with reversible neurological alteration in the intensive care unit: case report and literature review

Fernández-Bustamante JP, Azad-Ether F, González-Herrera O, Calderón-Esquivel N, Cárdenas-Membrila G

Language: Spanish
References: 20
Page: 247-252
PDF size: 1283.98 Kb.


ABSTRACT

Dialysis disequilibrium syndrome (DDS) is a highly lethal complication of hemodialysis that may be reversible with appropriate and timely management. We describe the case of a patient with chronic kidney disease who developed acute neurological deterioration following hemodialysis due to DDS. Brain computed tomography demonstrated cerebral edema, which was fully reversible after targeted therapy. This case highlights the importance of early recognition of DDS, close monitoring of rapid blood urea nitrogen reduction, and individualized renal replacement therapy strategies to prevent severe neurological complications.


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