Abstract
Specific problems for patients on prolonged hemodialysis who suffered from cerebrovascular diseases are bleeding tendency due to either systemic heparinization or potential platelet dysfunction, and progressive brain edema as a result of dialysis dysequilibrium syndrome. We report ten patients on hemodialysis who developed intracerebral hemorrhage or subarachnoid hemorrhage. Mortality was very high in cases with intracerebral hemorrhage. Immediate initiation of hemodialysis with slow blood flow, and use of DDAVP, blood transfusion or administration of hyperosmotic dehydrating agents are recommended for treatment of such patients.
