Abstract
We experienced pontine hemorrhage in a patient on continuous ambulatory peritoneal dialysis (CAPD). The patient showed a successful clinical course with the same therapy after the hemorrhage.
This 48-year-old male started CAPD in June 1985, because of chronic renal failure due to chronic glomerulonephritis. He was maintained in a stable condition until December 27, 1988, when he was admitted to our hospital because of acute peritonitis. He developed pontine hemorrhage on December 31, 1988. We continued CAPD therapy as before while using glyceol and steroid to reduce brain edema. At about one month after the pontine hemorrhage, brain edema disappeared completely. He was able to eat at 4 months, his level of consciousness was clear at 6 months and he underwent rehabilitation at the same time. At the end of 8 months he started to walk, and on October 19, 1989, was discharged.
Cerebrovascular accidents in uremic patients are often fatal, with the prognosis of brain stem hemorrhage especially poor. Thus, in uremic patients complicated with cerebrovascular accident, CAPD can be considered a useful replacement therapy.
