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Regulating the
frequency and timing of dialysis helps in the management of the
hemodialysis-related headache with high blood-urea-nitrogen levels and high pre-dialysis-blood-pressure.
Hemodialysis related headache is prevelent in nearly one third of patients, predominent in males presented to hemodialysis session, evident from a recent study published in the 'European Journal of Neurology'. This form of headache is associated with serum BUN levels and blood pressure differences between the pre - and post -dialysis periods.
Hemodialysis (HD) may affect the nervous system adversely. The most common reported neurological symptom among HD-patients is the headache. Headche associated with hemodialysis is characterized as primarily bilateral, and either throbbing or dull, with moderate severity.
Gozubatik-Celik G et al. performed this study to reveal the frequency, clinical characteristics, activating factors of an HD-related headache (HRH) and to assess the preventive techniques for reducing the HRH.
All in all, 494 patients were involved in this study. The comparative
controls (CC) were classified within the same patients without a headache.
Before/after HD the arterial systolic-diastolic-blood pressure, BUN, creatinine
were correlated. During the dialysis, the urea reduction ratio was also
calculated.
Thus, HRH can be prevented by screening for high blood
pressure and serum BUN levels prior to dialysis.
Eur J Neurol
Hemodialysis related headache
Gozubatik-Celik G et al.
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