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Highly Accessed Letter

Dialysis disequilibrium syndrome in neurointensive care unit: the benefit of intracranial pressure monitoring

Pierre Esnault*, Guillaume Lacroix, Pierre-Julien Cungi, Erwan D'Aranda, Jean Cotte and Philippe Goutorbe

Author Affiliations

Department of Intensive Care and Anesthesiology, Teaching Military Sainte Anne Hospital, BP20545, 83041 Toulon Cedex 9, France

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Critical Care 2012, 16:472  doi:10.1186/cc11877

Published: 31 December 2012

First paragraph (this article has no abstract)

Dialysis disequilibrium syndrome (DDS) is a brain disease characterized by neurological symptoms due to cerebral edema after hemodialysis (HD). However, a direct measurement of intracranial pressure (ICP) rarely objectified this edema [1]. We report the case of a patient whose DDS was diagnosed by an increase of ICP.