Symptoms of renal encephalopathy

Renal encephalopathy has another name in medicine called uremic encephalopathy, so it can be inferred that this disease has a certain relationship with uremia. Everyone knows that uremia is a relatively serious kidney disease. After suffering from uremia, patients need dialysis or kidney transplantation. Renal encephalopathy has a great impact on a person's body. So what are the symptoms of renal encephalopathy in patients?

What are the symptoms of renal encephalopathy?

1. Brain weakness

Impaired attention and perception of the surrounding environment are the earliest and most reliable signs of uremic encephalopathy. Patients are prone to fatigue, lack of concentration, and memory loss, especially recent amnesia and intellectual decline. Mild cases require intelligence tests to be detected, so they are prone to misdiagnosis and missed diagnosis.

2. Severe mental illness symptoms

① Depressive state: The patient may change from a state of brain asthenia to a general inhibition and retardation of mental activity.

② Manic state: It can develop from euphoria and agitation to high spirits, with increased speech and movements, but it is less common than depressive state. ③ Delirium, hallucinations and delusions: Delirium may occur when consciousness is blurred, with irritable and restless expressions, mumbling or excitement, poor attention, memory and orientation, incoherent thinking, illusions and hallucinations, personality disintegration and a sense of unreality. Delusions and schizophrenia-like manifestations can also be seen in patients with uremic encephalopathy. There are often problems with calculation and judgment.

3. Impairment of consciousness

Impairment of consciousness is extremely common in uremia, especially in the late stages of uremia. Its severity can range from drowsiness to coma, and some patients may experience stupor.

4. Asterixis

Asterixis is an important indicator for diagnosing uremic encephalopathy, but it is not unique to uremic encephalopathy and can also be seen in other metabolic encephalopathy, such as hepatic coma. Once the patient has impaired consciousness. This sign is almost always present.

5. Tremor

Fine or coarse tremors, especially intention tremors of the hands and tongue, are often seen in uremic encephalopathy and are one of the sensitive indicators for diagnosing this disease, often appearing before flapping tremors.

6. Myoclonus

Multifocal muscle spasms are also common, mainly affecting the proximal muscles of the face and limbs, and manifest as sudden, rapid, irregular, and asymmetric muscle twitches.

7. Epileptic seizures are often a late manifestation of encephalopathy. It may be a generalized grand mal seizure or a focal seizure; focal status epilepticus and temporal lobe epilepsy may also be seen.

8. Others

Ataxia, muscle tremors, and tetany may also be seen.