ID | 65158 |
FullText URL | |
Author |
Sasaki, Ryo
Department of Neurology, Okayama University
Matsuoka, Chika
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital
Kinomura, Masaru
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University
Abe, Koji
Department of Neurology, National Center of Neurology and Psychiatry
Kaken ID
publons
researchmap
|
Abstract | Myoclonus, a rare complication in patients with end-stage renal disease, is typically ameliorated through hemodialysis. The present case concerns an 84-year-old male with chronic renal failure undergoing hemodialysis, presenting involuntary movements in his limbs, which gradually worsened from the initiation of hemodialysis without constant elevation of serum blood urea nitrogen and electrolytes levels. Surface electromyography revealed characteristic findings consistent with myoclonus. He was diagnosed with subcortical-nonsegmental myoclonus related to hemodialysis, and the myoclonus was significantly alleviated after slightly increasing the post-dialysis target weight even though drug treatment was ineffective. This case suggests that drug-resistant myoclonus in patients with renal failure may be improved by adjusting hemodialysis settings, even in cases of atypical dialysis disequilibrium syndrome.
|
Keywords | dialysis disequilibrium syndrome
involuntary movement
renal failure
myoclonus
hemodialysis
|
Published Date | 2023-03-13
|
Publication Title |
Cureus
|
Volume | volume15
|
Issue | issue3
|
Publisher | CUREUS INC
|
Start Page | e36104
|
ISSN | 2168-8184
|
Content Type |
Journal Article
|
language |
English
|
OAI-PMH Set |
岡山大学
|
Copyright Holders | © 2023 Sasaki et al.
|
File Version | publisher
|
DOI | |
Web of Science KeyUT | |
Related Url | isVersionOf https://doi.org/10.7759/cureus.36104
|
License | https://creativecommons.org/licenses/by/4.0/
|
Citation | Sasaki R, Matsuoka C, Yamashita T, et al. (March 13, 2023) A Case of Drug-Resistant Myoclonus Improved by Only Slight Adjustment to the Hemodialysis Setting. Cureus 15(3): e36104. doi:10.7759/cureus.36104
|
Funder Name |
Japan Agency for Medical Research and Development
|
助成番号 | 20K09370
20K12044
21K19572
20K19666
21K15190
|