CHRONIC KIDNEY DISEASE AND HYPERTENSION AS CAUSE OF INTRAVENTRICULAR HEMORRHAGE IN A YOUNG PATIENT. CLINICAL CASE
Abstract:
We present the case of a 32-year-old man, smoker, with medical history of chronic kidney
disease on dialysis for 5 years, renovascular hypertension, lacunar ischemic stroke one year ago, left
hemiparesis predominantly facially and brachially, hydrocephalus, with a suddenly onset of headache,
nausea, vomiting, confusion, an hour previous presentation, while on dialysis. Neurological examination
shows gait impairment, rotator nystagmus on right gaze, right hemiparesis (pronator sign), normal
osteotendinous reflexes, bilateral Babinski sign, normal language, disoriented in time and space,
confused. CT scan revealed third ventricle hemorrhage with normotensive hydrocephalus and no
arteriovenous malformation was found on angio CT. After medication and neurosurgical treatment, the
outcome was good.
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