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Neurogenic Nephropathy

Neurogenic Nephropathy Abstract Alterations in renal function and structure originating in the central nervous system have received scant attention in clinical medicine. To be sure, it has long been known that emotion may be manifested by proteinuria and that the latter, in massive form, may result from disease of the brain, notably subarachnoid hemorrhage. In this communication, an observation is recorded showing that brain disease may bring about severe renal failure. Evidence will also be adduced that these renal manifestations of cerebral origin, extending from trivial proteinuria to renal insufficiency causing uremia, are all produced through the intermediacy of renal vasoconstriction. Report of Case On Dec. 22, a previously healthy man of 33 years suddenly had a clonic convulsion and fell to the floor in coma. Clonic convulsions were repeated at short intervals. He was brought to Beth Israel Hospital about 45 minutes after the initial convulsion, still in coma.In the past References 1. Fishberg, A. M.: Hypertension and Nephritis , Ed. 5, Philadelphia, Lea & Febiger, 1954, pp. 77, 78, and 414. 2. Oliver, J.; MacDowell, M., and Tracy, A.: The Pathogenesis of Acute Renal Failure Associated with Traumatic and Toxic Injury , J. Clin. Invest. 30:1305-1438 ( (Dec.) ) 1951. 3. Clark, A.: On Albuminuria , Brit. M. J. 2:312 ( (Aug. 6) ) 1884.Crossref 4. Ahronheim, J. H.: Emotional Albuminuria , War Med. 5:267-270 ( (May) ) 1944. 5. Widal, F.: Le Diagnostic de l'hémorrhagie méningée , Presse méd. 1:413-415 ( (June 3) ) 1903. 6. Guillain, G., and Vincent, C.: Valeur séméiologique de l'albuminurie dans les hémorrhagies méningées , Semaine méd. 29:505-508 ( (Oct. 27) ) 1909. 7. Morawitz, P., and Schloss, J.: "Extrarenale" Albuminurie und Urämie , Klin. Wchnschr. 11:1628-1632 ( (Sept. 24) ) 1932.Crossref 8. Schmidt, R.: Über Hirntumor-Oligurie , Klin. Wchnschr. 12:105-106 ( (Jan. 21) ) 1933.Crossref 9. Weinberg, S. J.; Goodman, J. R., and Bushard, M. C.: Alterations in Renal Function, Including Hematuria, in Man During Intracranial Air Studies , Arch. Int. Med. 86:857-871 ( (Dec.) ) 1950.Crossref 10. Smith, H. W.: The Kidney , New York, Oxford University Press, 1951, Chap. 14. 11. Wolf, G. A.: The Effect of Pain on Renal Function , A. Res. Nerv. & Ment. Dis., Proc. (1942) 23:358-363, 1943. 12. Green, H. D., and Hoff, E. C.: Effect of Faradic Stimulation of the Cerebral Cortex on Limb and Renal Volumes , Am. J. Physiol. 118:641-658 ( (April) ) 1937. 13. Starr, I.: The Production of Albuminuria by Renal Vasoconstriction in Animals and in Man , J. Exper. Med. 43:31-51 ( (Jan.) ) 1926. 14. King, S. E., and Baldwin, D. S.: Production of Renal Ischemia and Proteinuria in Man with Intravenous L-Norepinephrine and Epinephrine , J. Clin. Invest. 34:945 ( (June) ) 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Neurogenic Nephropathy

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1957.00260010131014
Publisher site
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Abstract

Abstract Alterations in renal function and structure originating in the central nervous system have received scant attention in clinical medicine. To be sure, it has long been known that emotion may be manifested by proteinuria and that the latter, in massive form, may result from disease of the brain, notably subarachnoid hemorrhage. In this communication, an observation is recorded showing that brain disease may bring about severe renal failure. Evidence will also be adduced that these renal manifestations of cerebral origin, extending from trivial proteinuria to renal insufficiency causing uremia, are all produced through the intermediacy of renal vasoconstriction. Report of Case On Dec. 22, a previously healthy man of 33 years suddenly had a clonic convulsion and fell to the floor in coma. Clonic convulsions were repeated at short intervals. He was brought to Beth Israel Hospital about 45 minutes after the initial convulsion, still in coma.In the past References 1. Fishberg, A. M.: Hypertension and Nephritis , Ed. 5, Philadelphia, Lea & Febiger, 1954, pp. 77, 78, and 414. 2. Oliver, J.; MacDowell, M., and Tracy, A.: The Pathogenesis of Acute Renal Failure Associated with Traumatic and Toxic Injury , J. Clin. Invest. 30:1305-1438 ( (Dec.) ) 1951. 3. Clark, A.: On Albuminuria , Brit. M. J. 2:312 ( (Aug. 6) ) 1884.Crossref 4. Ahronheim, J. H.: Emotional Albuminuria , War Med. 5:267-270 ( (May) ) 1944. 5. Widal, F.: Le Diagnostic de l'hémorrhagie méningée , Presse méd. 1:413-415 ( (June 3) ) 1903. 6. Guillain, G., and Vincent, C.: Valeur séméiologique de l'albuminurie dans les hémorrhagies méningées , Semaine méd. 29:505-508 ( (Oct. 27) ) 1909. 7. Morawitz, P., and Schloss, J.: "Extrarenale" Albuminurie und Urämie , Klin. Wchnschr. 11:1628-1632 ( (Sept. 24) ) 1932.Crossref 8. Schmidt, R.: Über Hirntumor-Oligurie , Klin. Wchnschr. 12:105-106 ( (Jan. 21) ) 1933.Crossref 9. Weinberg, S. J.; Goodman, J. R., and Bushard, M. C.: Alterations in Renal Function, Including Hematuria, in Man During Intracranial Air Studies , Arch. Int. Med. 86:857-871 ( (Dec.) ) 1950.Crossref 10. Smith, H. W.: The Kidney , New York, Oxford University Press, 1951, Chap. 14. 11. Wolf, G. A.: The Effect of Pain on Renal Function , A. Res. Nerv. & Ment. Dis., Proc. (1942) 23:358-363, 1943. 12. Green, H. D., and Hoff, E. C.: Effect of Faradic Stimulation of the Cerebral Cortex on Limb and Renal Volumes , Am. J. Physiol. 118:641-658 ( (April) ) 1937. 13. Starr, I.: The Production of Albuminuria by Renal Vasoconstriction in Animals and in Man , J. Exper. Med. 43:31-51 ( (Jan.) ) 1926. 14. King, S. E., and Baldwin, D. S.: Production of Renal Ischemia and Proteinuria in Man with Intravenous L-Norepinephrine and Epinephrine , J. Clin. Invest. 34:945 ( (June) ) 1955.

Journal

A.M.A. Archives of Internal Medicine – American Medical Association

Published: Jan 1, 1957

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