Influência da hemodiálise na complacência intracraniana em doente renal crônico observada de forma não invasiva: relato de caso

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Abstract
Chronic kidney disease (CKD) has been increasing globally, with hemodialysis (HD) being the most commonly used treatment. However, HD can lead to episodes of hypotension, affecting cerebral perfusion and intracranial pressure (ICP), potentially compromising cerebral compliance. In this context, non-invasive ICP monitoring becomes a valuable tool for the early detection of such changes. This report describes a 58-year-old patient on HD for three years, whose cerebral compliance was assessed before and after dialysis sessions. A significant reduction in systolic blood pressure (SBP) was observed, possibly influencing ICP dynamics and the P2/P1 ratio. Since HD can cause osmotic imbalances and cardiovascular effects that impact cerebral perfusion, continuous ICP monitoring using non-invasive methods may enhance clinical management and reduce neurological risks in individuals with CKD.

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