Title: NCCT Head findings in patients of chronic renal failure with altered sensorium presenting in a tertiary care centre
Authors: Dr Achint Singh, Dr Vinod Kumar, Dr Ritu Bhagat
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.59
Abstract
Introduction: Central nervous system (SNS) is commonly affected in uremics and also has been investigated variably in these patients. Various hypothesis have been postulated from time to time regarding etiology of the central nervous system tract lesions in chronic renal failure. Urea has been implicated in most of the studies.
Aim: The objective is to study the NCCT Head findings in patients of chronic renal failure.
Materials and Methods: This is a prospective study for a period of one year from nov. 2016 to oct. 2017 conducted at GMC, Jammu which is a tertiary care centre. In our study 64 patients were enrolled, 36 (56.25%) were males and 28 (43.75) were females. Age of patients ranged from 18 to 60 years.
Results: out of 64 patients undertaken in our study, 8 patients (12.5%) had ischaemic stroke, 6 patients (9.37%) had haemorrhagic stroke while 2 patients (3.12%) had both the lesions.
Conclusion: Neurological manifestations have been frequently reported in patients of chronic renal failure. Patients of CKD have moderate to severe chronic cognitive impairment, yet it is largely undiagnosed.
Keywords: central nervous system, chronic renal failure, glomerular filtration rate.