Skip to main content

Neurological Complications of the Uremic Syndrome

  • Chapter
Nutritional Treatment of Chronic Renal Failure

Part of the book series: Topics in Renal Medicine ((TIRM,volume 7))

Abstract

Neurological abnormalities specifically related to uremia occur constantly in chronic renal failure (CRF), although they do not become clinically well defined until late in the course of the uremic syndrome. These abnormalities can affect the central (encephalopathy) or peripheral (polyneuropathy) nervous system or both.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arieff AI: (1986) Neurological manifestations of uremia. In: By Brenner BM, Rector FC (eds) The Kidney. Philadelphia: WB Saunders p 1731–1756.

    Google Scholar 

  2. Tyler HR: (1975) Neurological aspects of uremia. An overview. Kidney Int 7(Suppl 2): S188–S193.

    Google Scholar 

  3. Nielsen VK: (1971) The peripheral nerve function in chronic renal failure. I Clinical signs and symptoms. Acta Med Scand 190:105–111.

    Article  PubMed  CAS  Google Scholar 

  4. Raskin NH, Fishman RA: (1976) Neurologic disorders in renal failure. N Engl J Med 294: 143–148.

    Article  PubMed  CAS  Google Scholar 

  5. Di Paolo B, Cappelli P, Spisni C, Albertazzi A, Rossini PM, Marchionno L, Gambi D: (1982) New electrophysiological assessments for the early diagnosis of encephalopathy and peripheral neuropathy: Uremia. Int J Tissue React 4:301–307.

    PubMed  Google Scholar 

  6. Bolton CF, Baltzan MA, Baltzan RB: (1976) Effects of renal transplantation on uremic neuropathy. Neurol 26:152–157.

    CAS  Google Scholar 

  7. Albertazzi A, Di Paolo B, Cappelli P, Spisni C, Del Rosso G: (1985) Evoked potentials in uremia. Contr Nephrol 45:60–68.

    CAS  Google Scholar 

  8. Teschan PE, Ginn HE, Bourne JR, Ward JW, amel B, Nummally JC, Musso M, Vaughn WK: (1979) Quantitative indices of clinical uremia. Kidney Int 15:676–697.

    Article  PubMed  CAS  Google Scholar 

  9. Nielsen VK: (1973) The peripheral nerve function in chronic renal failure. VI. Relationship between sensory and motor function and kidney function, azotemia, age, sex and clinical neuropathy. Acta Med Scand 194:455–462.

    Article  PubMed  CAS  Google Scholar 

  10. Albertazzi A, Di Paolo B, Del Rosso G, Gambi D, Rossini PM: (1981) Neurophysiological abnormalities in uraemic encephalopathy. Proc Eur Dial Transpl Assoc Eur Ren Assoc 18: 652–657.

    CAS  Google Scholar 

  11. Hagstam KE: (1971) EEG frequency content related to chemical blood parameters in chronic uremia. Scand J Urol Nephrol 7(Suppl 1):1–9.

    PubMed  CAS  Google Scholar 

  12. Weber B, Hacke W, Stiller S, Mann H: (1985) Evaluation of uremic neuropathy by visual (VEP) and brainstem auditory (BAEP) evoked potentials. Trans Am Soc Artif Int Organs 31: 586–589.

    CAS  Google Scholar 

  13. Rossini PM, Pirchio M, Treviso M, Gambi D, Di Paolo B, Albertazzi A: (1981) Checkerboard reversal pattern and flash VEPs in dialysed and nondialysed subjects. Electroencephalogr Clin Neurophysiol 52:435–444.

    Article  PubMed  CAS  Google Scholar 

  14. Komsuoglu SS, Mehta R, Jones LA, Harding GFA: (1985) Brainstem auditory evoked potentials in chronic renal failure and maintenance hemodialysis. Neurology 35:419–423.

    PubMed  CAS  Google Scholar 

  15. Rossini PM, Di Stefano E, Febbo A, Di Paolo B, Basciani M: (1984) Brainsteam auditors evoked responses (BABRs) in patients with chronic renal failure. Electroencephalogr Clin Neurophysiol 57:507–514.

    Article  PubMed  CAS  Google Scholar 

  16. Rossini PM, Treviso M, Di Stefano E, Di Paolo B: (1983) Nervous impulse propagation along peripheral and central fibres in patients with chronic renal failure. Electroencephalogr Clin Neurophysiol 56:293–303.

    Article  PubMed  CAS  Google Scholar 

  17. Ahonen RE: (1981) Peripheral neuropathy in uremic patients and in renal transplant recipients. Acta Neuropathol 54:43–53.

    Article  PubMed  CAS  Google Scholar 

  18. Spencer PS, Schaumberg HH: (1977) Central-peripheral distal axonopathy. The pathology of “dying-back” polyneuropathies. Proc Neuropath 3:253–255.

    Google Scholar 

  19. Savazzi GM, Cambi V, Migone L, Marbini A, Govoni E, Bragaglia MM, Juvarra G, D’Aglio PP: (1980) The influence of uraemic neuropathy on muscle EMG, histoenzymatic and ultra-structural correlation. Pro Eur Dial Transpl Assoc Eur Ren Assoc 17:312–317.

    CAS  Google Scholar 

  20. Albertazzi A, Di Paolo B, Cappelli P, Evangelista M, Di Marco T, Varanese L: (1985) Uremic polyneuropathy: Electrophysiologic findings after renal transplantation. Transpl Proc 17:121.

    Google Scholar 

  21. Bolton CF: (1976) Electrophysiologic changes in uremic neuropathy after successful renal transplantation. Neurology 26:152–161.

    PubMed  CAS  Google Scholar 

  22. Nielsen VK. (1974) The peripheral nerve function in chronic renal failure. VII. Recovery after renal transp antation. Acta Med Scand 195:171–180.

    Article  PubMed  CAS  Google Scholar 

  23. Kopple JD: (1983) Nutritional management. In: SG Massry, RJ Glassock (eds) Textbook of Nephrology. Baltimore: Williams & Williams, pp 8.3–8.12.

    Google Scholar 

  24. Schoenfeld PY, Henry RR, Laird NM, Roxe DM: (1983) Assessment of nutritional status of the National Cooperative Dialysis Study population. Kidney Int 23(Suppl 13):S80–S88.

    Google Scholar 

  25. Nielsen VK: (1974) The peripheral nerve function in chronic renal failure: A survey. Acta Med Scand Suppl 573:7–12.

    Google Scholar 

  26. Massry SG: (1985) Current status of the role of parathyroid hormone in uremic toxicity. Contr Nephrol 49:1–11.

    CAS  Google Scholar 

  27. Akmal M, Goldstein DA, Multani S, Massry S, Massry SG: (1984) The role of uremia, brain Ca and PTH on change in EEG in chronic renal failure. Am J Physiol 246:F575.

    PubMed  CAS  Google Scholar 

  28. Avram MD, Feinfeld DA, Hautuco AH: (1973) Search for the uremic toxin; Decreased motor nerve conduction velocity and elevated parathyroid hormone in uremia. N Engl J Med 298: 1000–1003.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Kluwer Academic Publishers, Boston

About this chapter

Cite this chapter

Cappelli, P., Di Paolo, B., Albertazzi, A. (1989). Neurological Complications of the Uremic Syndrome. In: Giovannetti, S. (eds) Nutritional Treatment of Chronic Renal Failure. Topics in Renal Medicine, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1583-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1583-4_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8877-0

  • Online ISBN: 978-1-4613-1583-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics