Ischemic monomelic neuropathy: a complication of vascular access procedure.
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.
Rabbani
Malik Anas
MA
Department of Medicine, Aga Khan University Hospital, Karachi.
Ahmad
Bushra
B
Shah
Syed Mansoor Ahmed
SM
Ahmad
Aasim
A
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
D011138:Polytetrafluoroethylene