IntraMed - Artículos - Encefalopatía urémica
Conceptos neurológicos | 01 JUN 05
Encefalopatía urémica
La encefalopatía urémica es una de las muchas manifestaciones de la insuficiencia renal y sin tratamiento llega al coma y la muerte.
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Autor: Dr. Gabriel Bucurescu Fuente: Comentario editorial: Dra. Marta Papponetti EMedicine, Instant Access to the Minds of Medicine
INDICE:  1. Desarrollo | 2. Bibliografía
Bibliografía

1. Adams RD, Victor M, Ropper AH: Uremic encephalopathy. Principles of Neurology 1997; Sixth Edition: 1121-1123.
2. Arieff AI, Mahoney CA: Pathogenesis of dialysis encephalopathy. Neurobehavioral Toxicology and Teratology 1983; 5: 641-644
3. Balzer S, Kuttner K: Das fruhe akustisch evozierte Potential. HNO 1996; 44: 559-566
4. Biasoli S, D'Andrea G, Fabris A: The pathogenesis of uremic encephalopathy. International J Artificial Organs 1985; 8(1): 59-60.
5. Biasoli S, D'Andrea G, Chiaramonte S: The role of neurotransmitters in the genesis of uremic encephalopathy. International J Artificial Organs 1984; 7(2): 101-106.
6. Bolton CF, Young GB: Uremic encephalopathy. Neurological complications of renal disease 1990; 43-74.
7. Bourne JR, Teschan PE: Computer methods, uremic encephalopathy and adequacy of dialysis. Kidney International 1983; 24: 496-506
8. De Deyn PP, Saxena VK, Abts H: Clinical and pathophysiological aspects of neurologic complications in renal failure. Acta Neurol Belg 1992; 92: 191-206
9. Jagadha V, Deck JHN, Halliday WC: Wernicke's encephalopathy in patients on peritoneal dialysis or hemodialysis. Ann Neurol 1987; 21: 78-84
10. Jeppsson B, Freund HR, Gimmon Z: Blood-brain barrier derangement in uremic encephalopathy. Surgery 1982; 92(1): 3035.
11. Kiley JE, Pratt KL, Gisser DG: Techniques of EEG frequency analysis for evaluation of uremic encephalopathy. Clinical Nephrology 1976; 5(6): 279-285.
12. Lockwood AH: Neurologic complications of renal disease. Neurologic Clinics 1989; 7(3): 617-627
13. Mahoney CA, Arieff AI: Uremic encephalopathies: clinical, biochemical and experimental features. American Journal of Kidney Disease 1982; 2(3): 324-336.
14. Moe SM, Sprague SM: Uremic encephalopathy. Clinical Nephrology 1994; 42(4): 251-256.
15. Niedermeyer E: Metabolic central nervous system disorders. Electroencephalography 1993; Third Edition: 405-418.
16. Norenberg MD, Bruce-Gregorios J: Renal disease. Textbook of Neuropathology 1997; Third Edition: 575-579.
17. Schmidt M, Sitter T, Lederer SR, et al: Reversible MRI changes in a patient with uremic encephalopathy. J Nephrol 2001 Sep-Oct; 14(5): 424-7
18. Souheaver GT, Ryan JJ, Dewolfe AS: Neuropsychological patterns in uremia. J Clinical Psychology 1982; 38(3): 490-496.
19. Topczewska-Bruns J, Pawlak D, Chabielska E, et al: Increased levels of 3-hydroxykynurenine in different brain regions of rats with chronic renal insufficiency. Brain Res Bull 2002 Aug 15; 58(4): 423-8
20. Warnock DG: Chronic renal failure. Cecil Textbook of Medicine 1992; Nineteenth Edition: 533-541.
21. Zucker I, Yosipovitch G, David M, et al: Prevalence and characterization of uremic pruritus in patients undergoing hemodialysis: uremic pruritus is still a major problem for patients with end-stage renal disease. J Am Acad Dermatol 2003 Nov; 49(5): 842-6

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Dr. Carlos Cimino   Hace 1 año
el articulo no habla de cifras en relacion a cuanto de urea plasmatica se necesita o cuan rapido el aumento para producir encefalopatia uremica. tampoco relata cuanto tiempo tarda en mejorar la encefalopatia una vez iniciada la dialisis.
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