Acute Massive Cerebral Infarctions Treated with Hemodialysis

Kessarin Panichpisal, Takamitsu Saigusa, Sharmila Sehli, Kenneth Nugent, Jeremiah H.C. Yim

Research output: Contribution to journalArticlepeer-review


We report here a 19-year-old woman with Down syndrome and end-stage renal disease who presented with left-sided weakness and fever. She had a massive pericardial effusion of unclear origin that required daily hemodialysis (HD) and cardiac intervention. She developed an acute right middle cerebral artery infarction with severe edema; her cerebral edema significantly improved with daily HD. Later in her hospitalization, she developed seizures and new onset of multiple acute embolic infarctions in left middle cerebral artery, left anterior cerebral artery (ACA), and right posterior cerebral artery (PCA) distributions with midline shift. However, we again noticed a dramatic decrease in cerebral edema with frequent HD. Although there is controversy about the use of dialysis in patients with stroke, our case suggests that daily HD may provide an alternate strategy for treating massive cerebral infarction. More studies are needed in these patients.

Original languageEnglish (US)
Pages (from-to)316-318
Number of pages3
JournalJournal of Stroke and Cerebrovascular Diseases
Issue number4
StatePublished - Jul 2009
Externally publishedYes


  • Hemodialysis
  • cerebral edema
  • stroke

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine


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