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Case Reports
. 2014 Winter;2(1):48-9.

Epidural Hematoma Following Hemodialysis in a Methanol Poisoned Patient; a Case Report

Payman Moharamzadeh  1 , Farzad Rahmani  1 , Mahboob Pouraghaei  1 , Hanieh Ebrahimi Bakhtavar  2 , Ehsan Mohammadzadeh Abachi  3
Affiliations
Case Reports

Epidural Hematoma Following Hemodialysis in a Methanol Poisoned Patient; a Case Report

Payman Moharamzadeh et al. Emerg (Tehran). 2014 Winter.

Abstract

Brain injury associated with methanol toxicity can be ischemic, necrotic or hemorrhagic in nature. It most commonly affects the putamen area bilaterally; however, it can be seen in other locations. This report describes a 22-year-old intoxicated patient who developed an epidural hematoma following hemodialysis. Heparinization during hemodialysis may contribute to cerebral hemorrhagic complications in methanol poisoning. In addition, a history of head trauma may raise the incidence of post-hemodialysis hemorrhagic brain insults. Heparin-free dialysis or peritoneal dialysis can be a good option in these cases.

Keywords: Hemodialysis; alcoholic intoxication; epidural hematoma; methanol.

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Figures

Figure 1
Figure 1
Brain CT scan of patient before hemodialysis
Figure 2
Figure 2
Brain CT scan of patient after hemodialysis.
See this image and copyright information in PMC

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