Spontaneous chronic subdural haematoma in a chronic renal failure patient on continuous ambulatory peritoneal dialysis (CAPD).

Sir, Subdural hematoma has a higher mortality rate with hemodialysis patients than the normal population but it rarely occurs in association with chronic peritoneal dialysis. We describe for the first time a case of chronic renal failure on CAPD for last two years who developed spontaneous subdural hematoma, managed successfully with surgical treatment. The development of subdural hematoma in the course of hemodialysis treatment has been well documented in the literature1,2 and its neurological symptoms may be similar to those of dialysis disequilibrium syndrome, dialysis dementia and hypertensive encephalopathy. To the best of our knowledge, however, no case of subdural haematoma in the course of CAPD has been reported in the medical literature.3-5