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Neurologische und psychiatrische Komplikationen unter der Dialyse

  • G. Paulsen
  • H. Speidel

Zusammenfassung

Psychiatrische Erkrankungen bei Hämodialysepatienten sind häufig, und die meisten der wichtigeren psychiatrischen Diagnosen sind bei ihnen schon gestellt worden: Psychosen verschiedenster Art wurden beobachtet, schizophrenieartige (Shea et al. 1965), Paranoia (Brown et al. 1962), depressive (Retan u. Lewis 1966; Brown et al. 1962) mit suizidalen Tendenzen (Gombos et al. 1964; Abram et al. 1971), Hypomanie (Cooper 1967), Delir (Glick et al. 1973), hirnorganische Psychosyndrome (Greenberg et al. 1973) bzw. Durchgangssyndrome (Lohmann 1972). Zwei für die Dialyse recht charakteristische und an die Therapiebedingungen ursächlich geknüpfte Krankheitsbilder wurden im Verlauf der Dialyse entdeckt und definiert: das Dialysedysäquilibrium(Peterson u. Swanson 1964; Rosen et al. 1964; Kennedy et al. 1964) und die Dialyseenze-phalopathie (Alfrey et al. 1972), ersteres ein Durchgangssyndrom (s. unten), letzteres ein dementiver Prozeß mit einer charakteristischen Symptomatik.

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© Springer-Verlag Berlin Heidelberg 1985

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  • G. Paulsen
  • H. Speidel

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