TY - JOUR
T1 - Chronic subdural hematoma in autosomal dominant polycystic kidney disease
AU - Wijdicks, Eelco F.M.
AU - Torres, Vicente E.
AU - Schievink, Wouter I.
PY - 2000
Y1 - 2000
N2 - Autosomal dominant polycystic kidney disease (ADPKD) has been associated with an increased incidence of aneurysmal subarachnoid hemorrhage and intracerebral hematomas. We describe five patients with chronic subdural hematomas, a previously unrecognized complication of ADPKD. In four of the five cases, no trigger was apparent. Clinical presentation was subtle, with mild hemiparesis, headache, or both in four patients and transient neurological deficits mimicking transient ischemic attacks in one patient. In three of the five patients, a retrocerebellar arachnoid cyst was found, suggesting a plausible causal relation between the intracranial arachnoid cysts and the subdural hematomas, in one patient, subdural hematoma was in close proximity to the frontally located arachnoid cyst.
AB - Autosomal dominant polycystic kidney disease (ADPKD) has been associated with an increased incidence of aneurysmal subarachnoid hemorrhage and intracerebral hematomas. We describe five patients with chronic subdural hematomas, a previously unrecognized complication of ADPKD. In four of the five cases, no trigger was apparent. Clinical presentation was subtle, with mild hemiparesis, headache, or both in four patients and transient neurological deficits mimicking transient ischemic attacks in one patient. In three of the five patients, a retrocerebellar arachnoid cyst was found, suggesting a plausible causal relation between the intracranial arachnoid cysts and the subdural hematomas, in one patient, subdural hematoma was in close proximity to the frontally located arachnoid cyst.
KW - Arachnoid cyst
KW - Autosomal dominant polycystic kidney disease (ADPKD)
KW - Outcome
KW - Subdural hematoma
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U2 - 10.1016/S0272-6386(00)70299-X
DO - 10.1016/S0272-6386(00)70299-X
M3 - Article
C2 - 10620542
AN - SCOPUS:0033979416
SN - 0272-6386
VL - 35
SP - 40
EP - 43
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 1
ER -