Hemodialysis‐related headache

Sav, Murat Yusuf; Sav, Tansu; Şenocak, Elif; Sav, Nadide Melike

doi:10.1111/hdi.12171

Cited by 16 publications

(18 citation statements)

References 32 publications

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“…Alessandri et al. (29) reported higher basal plasma concentrations of calcitonin gene-related peptide in patients (that is reported to be related to migraine pathophysiology (30,31), with dialysis-related headaches than in hemodialysis patients without headaches. They suggested that changes in the plasma concentrations of this peptide could contribute to the susceptibility of hemodialysis-related headache (32).…”

Section: Discussionmentioning

confidence: 99%

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Headache in pediatric and adolescent patients with chronic kidney disease, with and without hemodialysis: A comparative cohort study

Davidovits

Markus

2017

Cephalalgia

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Background Several studies have reported dialysis-related headache in adults. We investigated headache and its characteristics in pediatric and adolescent patients with chronic kidney disease and patients treated with dialysis, and compared characteristics of patients with and without headache in the entire cohort and separately among dialysis and among chronic kidney disease patients. Methods Patients and their parents who attended a nephrology clinic and hemodialysis unit were interviewed regarding the existence of headache and its characteristics. We reviewed hospital files for medical history, blood test results, and pharmacologic treatment. Headache was defined according to International Headache Society criteria. Results The cohort comprised 60 patients: 39 with chronic kidney disease without hemodialysis and 21 treated with hemodialysis; 39 were males, mean age 11.9 ± 5.3 years. Twenty-six (43.3%) reported experiencing headaches. The hemodialysis group had a higher rate of headache than the chronic kidney disease patients, at 76.2% vs. 25.5%, p < 0.001. In the hemodialysis group, 15 out of 16 reported dialysis-related headache; 14 (87.5%) of these had migraine characteristics. For the entire cohort, headache was associated with hemodialysis, chronic kidney disease grade, lower glomerular filtration rate anemia and a higher parathyroid hormone level. In logistic regression analysis, glomerular filtration rate was significantly associated with headache, odds ratio 2.74 (95% CI 1.56-4.82, p < 0.001). Conclusions A high rate of headache, mostly migraine type, was reported by hemodialysis patients. Hemodialysis, anemia, higher parathyroid hormone levels, phosphate, and lower glomerular filtration rate are strongly associated with headache among chronic kidney disease pediatric and adolescent patients.

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Section: Discussionmentioning

confidence: 99%

“…Studies that have been published regarding dialysis-related headache have been performed only in adult populations (1–9). We did not identify any published studies of headaches among pediatric or adolescent patients with chronic kidney disease or on hemodialysis.…”

Section: Introductionmentioning

confidence: 99%

Headache in pediatric and adolescent patients with chronic kidney disease, with and without hemodialysis: A comparative cohort study

Davidovits

Markus

2017

Cephalalgia

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“…Because this was a narrative review, we were unable to exclude the possibility of selection bias. We found just one narrative review about this theme, so we hope to contribute with the discussion about this important theme.…”

Section: Limitationsmentioning

confidence: 99%

Dialysis Headache: A Narrative Review

2016

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“…DDS is not the only cause of hemodialysis-related headaches, defined by the International Classification of Headache as having no specific characteristics, occurring during dialysis and resolving within 72 hrs of the end of hemodialysis. Other etiologies include hypo- and hypertension, metabolic disturbances like hypoglycemia, hyper- and hyponatremia, hyperphosphatemia, uremia, caffeine deprivation, medication associated, stress and subdural hematomas 6,7. Often, the etiology is multifactorial and appropriate evaluation should be undertaken.…”

Section: Introductionmentioning

confidence: 99%

<p>Dialysis disequilibrium syndrome prevention and management</p>

Mistry

2019

IJNRD

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The dialysis disequilibrium syndrome (DDS) is a clinical constellation of neurologic symptoms and signs occurring during or shortly following dialysis, especially when dialysis is first initiated. It is a diagnosis of exclusion occurring in those that are uremic and hyperosmolar, in whom rapid correction with renal replacement therapy leads to cerebral edema and raised intracranial pressure with resultant clinical neurologic manifestations. DDS is most commonly described in association with hemodialysis but can occur in patients with acute kidney injury requiring continuous renal replacement therapy (CRRT). To date, it has not been described in association with peritoneal dialysis. The syndrome is uncommon and becoming rarer, so performing randomized controlled trials to evaluate the effectiveness of potential therapies is almost impossible. This also makes studying the pathophysiology in humans challenging. It is associated with mortality but is also preventable, so identification of patients at risk, preventive measures, early recognition and prompt management of DDS will minimize morbidity and mortality associated with this syndrome. While the focus of this review is the prevention and management of DDS, there will be an emphasis on what is known about the pathophysiology because it strongly impacts the prevention and management strategies.

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Hemodialysis‐related headache

Cited by 16 publications

References 32 publications

Headache in pediatric and adolescent patients with chronic kidney disease, with and without hemodialysis: A comparative cohort study

Headache in pediatric and adolescent patients with chronic kidney disease, with and without hemodialysis: A comparative cohort study

Dialysis Headache: A Narrative Review

<p>Dialysis disequilibrium syndrome prevention and management</p>

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