Neurologic complications of acute and chronic renal disease

Baumgaertel, Martin W; Kraemer, Markus; Berlit, Peter

doi:10.1016/b978-0-7020-4086-3.00024-2

Cited by 71 publications

(52 citation statements)

References 71 publications

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“…The symptoms of UP are slowly progressive, symmetrical, and begin distally in the feet and then slowly spread up the legs [1][2][3]. Usually, patients develop sensory symptoms such as numbness, paresthesias, discomfort, prickling, and cramps in the legs.…”

Section: Introductionmentioning

confidence: 98%

“…Despite adequate dialysis and transplant programs, UP remains a major disabling feature in the life of uremic patients. Additionally, in CKD, mononeuropathies and ischemic monomelic neuropathy related to arteriovenous (AV) fistulas are often described [1,3]. Glomerular filtration rates of <12 ml/min and increased creatinine levels are associated with increased rates of UP [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…It is well known that the prevalence of uremic polyneuropathy (UP) in patients with CKD is high and varies between 60 and 100 % [1][2][3][4]. UP is one of the most common neurological disorders associated with CKD.…”

Section: Introductionmentioning

confidence: 99%

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A neurophysiological study of large- and small-diameter nerve fibers in the hands of hemodialysis patients

et al. 2015

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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A neurophysiological study of large- and small-diameter nerve fibers in the hands of hemodialysis patients

et al. 2015

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“…CTS (carpal tunnel syndrome) in patients with renal insufficiency and long-term dialysis is a common neurological complication with up to 32% prevalence (Kessler et al 1992;Ibrahim et al 2012;Baumgaertel et al 2014). The exact pathomechanisms are not yet definitely identified.…”

Section: Introductionmentioning

confidence: 99%

Sonographic examination of the median nerve in dialysis patients and after renal transplantation

Carolus

Schenker

Dombert³

et al. 2015

Brain and Behavior

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ObjectivePatients with renal insufficiency are predisposed to develop CTS (carpal tunnel syndrome). In particular, long‐term dialysis seems to contribute to changes in median nerve texture which lead to an increased risk for CTS. The current study was designed to evaluate if these structural changes can be detected by HRS (high‐resolution sonography). Additionally, the current study aimed to determine if changes are reversible after termination of dialysis.MethodsFifty patients (98 hands) were included in the study. The study population was subdivided into three groups: patients without any history of renal disease (H, n = 20), patients with long‐term dialysis (D, n = 10), and patients after renal transplantation (TX, n = 20). None of the patients had any clinical symptoms for a median nerve compression syndrome. The CSA (cross‐sectional area) of the median nerve was evaluated both 12 cm proximally of the carpal tunnel inlet and directly at the carpal tunnel inlet. The ratio of those two values, the WFR (wrist forearm ratio), was calculated and analyzed.ResultsThe CSA demonstrated significantly higher values in dialysis (D) and transplanted (TX) patients compared to the healthy (H) control group (P < 0.001). No significant differences were detectable between the D and TX groups. Specifically, there was no significant difference in the WFR.ConclusionPatients with chronic renal disease demonstrate significantly higher CSA values compared to their healthy counterparts. Termination of dialysis does not seem to reverse these morphological changes.

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“…In the literature, no prior evaluation of plantar foot pressure sensation has been performed on renal patients, including chronic kidney disease patients. However, neurotransmission, peripheral nerve function evaluation, and motor and sensory nerve sensitivity evaluations have been performed, particularly among chronic kidney patients, and it was found that these patients were significantly affected by neurotransmission . These patients are observed to have remained inactive for a long time due to decreased oxygenation, reduced energy levels, muscle weakness, hypotension, vitamin D deficiency, atherosclerotic diseases, and balance problems due to frequent circulatory problems .…”

Section: Discussionmentioning

confidence: 99%

Is there a relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients?

Erdoğanoğlu

Örs

Külah

et al. 2019

Hemodialysis International

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Introduction: This study was conducted to investigate the relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients. Materials and Methods: The study involved 24 hemodialysis patients and 20 healthy volunteers. Light touch‐pressure sensation (Semmes Weinstein Monofilament test kit), two‐point discrimination sensation (esthesiometer) and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Static balance was assessed by the one‐leg standing balance test, physical performance by the Timed Up and Go test, fear of falling with the Fall Efficacy Scale, and quality of life with the Ferrans and Powers Quality of Life Index Dialysis Version. Findings: There was a significant difference in plantar foot sensation, static balance, and physical performance of the patients compared to the healthy controls (P < 0.05). There was a strong correlation between static balance and physical performance with foot sensation in the hemodialysis patients (P < 0.05). There was also a strong correlation between static balance, physical performance, and fear of falling in hemodialysis patients (P < 0.05). The correlation between static balance, physical performance, and quality of life in the hemodialysis patients was strong (P < 0.05). Discussion: The most important result of this study is that light touch‐pressure sensation, vibration sensation, two‐point discrimination sensation, static balance, and physical performance, all of which involve the activity of cutaneous sensory receptors on the sole of the foot, are reduced in individuals who undergo hemodialysis. The findings of this study suggest potential rehabilitation strategies that could be applied to this patient group.

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Neurologic complications of acute and chronic renal disease

Cited by 71 publications

References 71 publications

A neurophysiological study of large- and small-diameter nerve fibers in the hands of hemodialysis patients

A neurophysiological study of large- and small-diameter nerve fibers in the hands of hemodialysis patients

Sonographic examination of the median nerve in dialysis patients and after renal transplantation

Is there a relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients?

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