A Case of Acute Ischemic Monomelic Neuropathy and Review of the Literature.
Ischemia monomelic neuropathy is rare and underrecognized complication of hemodialysis access (HA), characterized by diffuse multiple mononeuropathies in the absence of significant clinical ischemia. It is important to diagnose this syndrome early because ligation of the HA is the most accepted treatment to prevent or at least halt irreversible neural dysfunction and therefore, chronic pain and disability. Literature describing this fistulae-related pathology is rare, and we attempt to increase its awareness.
Hospital of the University of Pennsylvania, Philadelphia, PA. Electronic address: ramdona@albanyvascular.com.
Andre
A
Ramdon
Hospital of the University of Pennsylvania, Philadelphia, PA.
Amelia
A
Breyre
Penn Presbyterian Medical Center and the Hospital of the University of Pennsylvania, Philadelphia, PA.
Venkat
V
Kalapatapu
D000208:Acute Disease; D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001367:Axillary Vein / Q000503:physiopathology / Q000601:surgery*; D001916:Brachial Artery / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012039:Regional Blood Flow; D006435:Renal Dialysis; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color