الفهرس 
Features Of CerebrovascularOnly 14 pages are availabe for public view
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Abstract
Background : Stroke also has deep relationships with end-stage kidney disease. Stroke occurs much more commonly in dialysis patients than general population or CKD patients without need for dialysis,the triggers of ischemic and hemorrhagic stroke in patients with end-stage kidney disease include special characteristics unique to dialysis, such as hemodynamic change, dialysate and anticoagulants, and vascular calcification. Patients and Methods: Retrospective – prospective study was conducted on ESRD patients under regular hemodialysis and renal transplant recipients to evaluate the cerebrovascular complications in these patients. Results : Regarding prospective group of patients, there was a high significant correlation between hemodialysis and presence of silent brain lesions (p <0.001) and no significant correlation between such lesions and either transplantation or control groups. Regarding retrospective group hemorrhagic strokes were more in hemodialysis patients (81.25%) while ischemic strokes were more in transplant recipients (75%). Conclusion : Stroke remains the major complication among the dialysis population, regular dialysis treatment could not be continued as prescribed if the sequelae of stroke are severe, support for daily life and transportation to the dialysis unit often become difficult. For elderly patients with stroke, socioeconomic support is critical for the continuation of adequate dialysis.