Q: 54 year old male is admitted to ICU with Acute renal failure and diagnosed with Adult Polycystic Kidney Disease (ADPKD). 3 hours after his first hemodialysis session patient complains of severe headache. What would be your major concern?



Answer: Intracranial berry aneurysm

Approximately 10% of patients with ADPKD die of a ruptured, intracranial berry aneurysm. Patients also may develop hepatic cysts, pancreatic cysts, splenic cysts and pulmonary cysts.