title: Ischemic monomelic neuropathy: a rare but important complication after hemodialysis access placement--a review.
abstract: The creation of a vascular access for hemodialysis is a frequently performed procedure. Ischemic monomelic neuropathy (IMN) is a rare, but important complication of hemodialysis access (HA) procedures, which can lead to severe and nonreversible limb dysfunctions. Therefore, in any case of postoperative neurological malfunction, immediate neurological investigations should be undertaken. If IMN is diagnosed, improvement of distal perfusion should be established without delay. IMN is a form of hemodialysis-associated ischemic syndrome (as the so-called steal syndrome), but experiences with this complication are small. Every case of IMN should be carefully documented and if possible published, to gain more experience about this rare but important complication.
authors.affiliation: Department of Vascular Surgery, University Teaching Hospital St. Elisabeth and St. Barbara, Halle, Germany. florian.thermann@medizin.uni-halle.de
authors.forename: Florian
authors.initials: F
authors.lastname: Thermann
authors.forename: Malte
authors.initials: M
authors.lastname: Kornhuber
mesh_terms: D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006435:Renal Dialysis / Q000009:adverse effects*; D014652:Vascular Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery