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Neurological consults on the renal unit
  1. Dearbhla M Kelly1,2,
  2. Michael R Clarkson2,
  3. Simon Cronin1,3
  1. 1 Department of Neurology, Cork University Hospital, Cork, Ireland
  2. 2 Department of Renal Medicine, Cork University Hospital, Cork, Ireland
  3. 3 Department of Clinical Neuroscience, College of Medicine and Health, University College Cork, Cork, Ireland
  1. Correspondence to Dr Simon Cronin, Department of Neurology, Cork University Hospital, Cork, Ireland; simon.cronin{at}hse.ie

Abstract

Neurological symptoms commonly occur in chronic kidney disease and may result from its treatments and complications. Impaired renal function also influences treatments for other neurological conditions, requiring various cautions, dose adjustments and timing considerations, particularly in the context of renal replacement therapy. In this review, we present six illustrative clinical vignettes to highlight these challenges.

  • cerebrovascular disease
  • chronic kidney disease
  • seizures
  • dialysis
  • restless legs syndrome

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Footnotes

  • Contributors DMK wrote the manuscript and clinical vignettes. MRC contributed to the format and revised the manuscript from a renal perspective. SC contributed to the initial concept and format and revised the manuscript from a neurological perspective.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed. This paper was reviewed by Martin Samuels, Boston, USA.

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  • Editors' commentary
    Phil E M Smith Geraint N Fuller