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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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Simultaneous onset of haemorrhagic and ischaemic strokes in a haemodialysis patient.

Primary brain haemorrhage and infarction only very rarely occur simultaneously. A patient with end stage renal disease from diabetic nephropathy suddenly had motor aphasia and horizontal nystagmus soon after finishing haemodialysis. Neuroradiological studies showed a haematoma on the right side of the pons and an infarct in the left frontal lobe with occlusion of the left internal carotid artery. Specific conditions of the haemodialysis--including anticoagulant use, relative hypovolaemia and hypertension just before haemodialysis, and an abrupt decrease in blood pressure during haemodialysis--seemed to be the major reason for the simultaneous onset of dual strokes.[1]

References

  1. Simultaneous onset of haemorrhagic and ischaemic strokes in a haemodialysis patient. Toyoda, K., Kumai, Y., Fujii, K., Ando, T., Ibayashi, S. J. Neurol. Neurosurg. Psychiatr. (2002) [Pubmed]
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