A Case report on subdural hematoma in a 60yr old male patient with ESRD

Abstract

A subdural hematoma occurs when a clot  forms between the brain and its outer covering. Chronic dialysis becomes necessary as a treatment to externally filter the blood, when kidneys are no capable of fulfilling this role. This validates that the patients undergoing hemodialysis face a higher risk of developing subdural hematoma. The KDIGO foundation guidelines  defines the chronic kidney disease using the markers such as the proteinuria and the glomerular filtration rate(GFR). Hemodialysis patient and other type  of bleeding tendency are more prone to the spontaneous traumatic  subdural hematoma and the intracerebral hematoma. This increased risk is attributed to the elevated mortality rate observed in the dialysis patient affected by the subdural hematoma. Consequently, it becomes imperative to implement the preventive measures aimed at reducing the occurrence of subdural hematoma in the individuals with the end stage renal disease, especially those undergoing the hemodialysis treatment. The high occurrence rate of the subdural hematoma and its recent surge is related to the increased use of anticoagulant in the long-term hemodialysis patient. Hence proper care for the patient is necessary to prevent devastating the disorder. This case report is demonstrating that there is a striking enrichment for the underlying comorbid conditions in the patient who has developed subdural hematoma and has the high risk of the immediate mortality.