Asympthomatic microhemorrhage in chronic hemodialysis patients [Kronik hemodiyaliz hastalari{dotless}nda asemptomatik mikrokanamalar]

Background: the rate of intracerebral hemorrhage is higher in chronic hemodialysis (hd) patients than in the general population. cerebral microbleeds (cmbs) detected by t2 weighted gradient-echo magnetic resonance imaging (ge-mri) are considered as evidence of advanced microangiopathy. the aim of this study is to investigate the frequency of cerebral microbleeds (cmbs) in hd patients. materials and methods: study population consisted of volunteer hd patients followed up in şişli etfal education and research hospital,department of nephrology and healthy and hypertensive controls with similar demographic features. all subjects had cranial ge-mri for detecting cmbs. results: cmbs on ge-mri were found in 8 of the patient group and in none of the controls (p=0,005). twenty-two of patients (64,7%),3 of healthy controls (11,5%) and 2 of hypertensive controls (%8,6) had leukoaraiosis respectively (p=0,000). conclusion: asymptomatic cmbs frequently occur in hd patients and their presence might be a risk factor for hemorrhagic and ischemic stroke.