A Neurosurgical Patient with Acute Renal Failure

Rhabdomyolysis is a common cause of acute renal failure. It represents a peripheral muscle damage with myoglobinuria and electrolyte disturbances with or without volume changes and renal injury. We present a 47-years-old male patient with traumatic subdural he- matoma who developed acute renal failure after two grand mal seizures. After alkalization, hydration and diuretic treatment renal failure subsided and the patient underwent successful evacuation of hematoma. We discuss the pathogenic mechanisms of development of acute renal injury in rhabdomyolysis.