title: Ischemic monomelic neuropathy: a complication of vascular access procedure.
abstract: Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by shunting of blood or due to acute noncompressive occlusion of the major proximal limb artery. Most reports about this complication appear in the neurology literature. IMN predominantly occurs in diabetic patients with evidence of peripheral neuropathy and atherosclerotic peripheral vascular disease. We report a case of ischemic monomelic neuropathy occurring in a patient with end stage diabetic nephropathy following PTFE (polytetrafluoroethylene) graft placement in proximal upper limb for chronic maintenance hemodialysis.
authors.affiliation: Department of Medicine, Aga Khan University Hospital, Karachi.
authors.forename: Malik Anas
authors.initials: MA
authors.lastname: Rabbani
authors.forename: Bushra
authors.initials: B
authors.lastname: Ahmad
authors.forename: Syed Mansoor Ahmed
authors.initials: SM
authors.lastname: Shah
authors.forename: Aasim
authors.initials: A
authors.lastname: Ahmad
mesh_terms: D001132:Arm / Q000098:blood supply / Q000294:innervation; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003928:Diabetic Nephropathies / Q000150:complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007511:Ischemia / Q000209:etiology*; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000628:therapy; D034941:Upper Extremity / Q000098:blood supply / Q000294:innervation
chemical_list: D011138:Polytetrafluoroethylene