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学术急诊医学档案

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  3. 卷 2 编号 1 (2014): Winter (February)
  4. Case Report

卷 2 编号 1 (2014)

二月 2014

Epidural Hematoma Following Hemodialysis in a Methanol Poisoned Pa-tient; a Case Report

  • Payman Moharamzadeh
  • Farzad Rahmani
  • Mahboob Pouraghaei
  • Hanieh Ebrahimi Bakhtavar
  • Ehsan Mohammadzadeh Abachi

学术急诊医学档案, 卷 2 编号 1 (2014), 1 二月 2014 , 第 48-49 页
https://doi.org/10.22037/aaem.v2i1.25 已出版: 2018-11-13

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摘要

Brain injury associated with methanol toxicity can be ischemic, necrotic or hemorrhagic in nature. It most commonly affects the putamen area bilaterally; however, it can be seen in other locations. This report describes a 22-year-old intoxicated patient who developed an epidural hematoma following hemodialysis. Heparinization during hemodialysis may contribute to cerebral hemorrhagic complications in methanol poisoning. In addition, a history of head trauma may raise the incidence of post-hemodialysis hemorrhagic brain insults. Heparin-free dialysis or peritoneal dialysis can be a good option in these cases.
关键词:
  • Hemodialysis
  • epidural hematoma
  • methanol
  • alcoholic intoxication
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Moharamzadeh P, Rahmani F, Pouraghaei M, Ebrahimi Bakhtavar H, Mohammadzadeh Abachi E. Epidural Hematoma Following Hemodialysis in a Methanol Poisoned Pa-tient; a Case Report. Arch Acad Emerg Med [网际网络]. 2018年11月13日 [见引于 2026年8月18日];2(1):48-9. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/25
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参考

Blanco M, Casado R, Vazquez F, Pumar J. CT and MR imaging findings in methanol intoxication. Am J Neuroradiol. 2006;27(2):452-4.

Feany MB, Anthony DC, Frosch MP, Zane W, De Girolami U. August 2000: Two cases with necrosis and hemorrhage in the putamen and white matter. Brain Pathol. 2001;11(1):121-5.

Bayliss G. Dialysis in the poisoned patient. Hemodial Int. 2010;14(2):158-67.

Goodman JW, Goldfarb DS. The role of continuous renal replacement therapy in the treatment of poisoning. Sem dial. 2006;19(5):402-7.

Kan G, Jenkins I, Rangan G, Woodroffe A, Rhodes H, Joyce D. Continuous haemodiafiltration compared with intermittent haemodialysis in the treatment of methanol poisoning. Nephrol Dial Transpl. 2003;18(12):2665-7.

Askar A, Al-Suwaida A. Methanol Intoxication with Brain Hemorrhage: Catastrophic outcome of late presentation. Saudi J Kidney Dis Transpl. 2007;18(1):117-9.

Taheri MS, Noori M, Shakiba M, Jalali AH. Brain CT-Scan Findings in Unconscious Patients after Poisoning. Int J biomed Sci. 2011;7(1):1-5.

Taussky P, Widmer HR, Takala J, Fandino J. Outcome after acute traumatic subdural and epidural haematoma in Switzerland: a single-centre experience. Swiss Med Wkly. 2008;138(19-20):281-5.

Dolatabadi AA, Baratloo A, Rouhipour A, et al. Interpreta-tion of Computed Tomography of the Head: Emergency Physi-cians versus Radiologists. Trauma Mon. 2013;18(2):86-9.

Phang P, Passerini L, Mielke B, Berendt R, King EG. Brain hemorrhage associated with methanol poisoning. Crit Care Med. 1988;16(2):137-40.

Janssen M, Van der Meulen J. The bleeding risk in chronic haemodialysis: preventive strategies in high-risk patients. Neth J Med. 1996;48(5):198-207.

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