Abstract
The incidence of intracerebral hemorrhage in chronic hemodialysis patients is high.
We studied hematoma location and size and clinical outcomes in 10 patients who had received hemodialysis treatments at Kyoto Minami Hospital. In addition, we reviewed hematoma location and clinical outcomes in 45 hemodialysis patients from the literature.
Hematoma location in hemodialysis patients is similar to that in non-hemodialysis patients with regard to incidence. The hemorrhage was in the basal ganglia in 71 per cent, was subcortical in 18 per cent, and was within the posterior fossa in 11 per cent.
Prognosis was poor. The motality rate was 63%. In particular, the prognosis was found to be death in patients with coma.
When intracerebral hemorrhage occurs in a hemodialysis patient, the hematoma is apt to be large. However, absorption of the hematoma may be good, such that surgical removal of the hematoma can be performed when indicated.
