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...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2005-09, Vol.55 (9), p.400-401
Main Authors: Rabbani, Malik Anas, Ahmad, Bushra, Shah, Syed Mansoor Ahmed, Ahmad, Aasim
Format: Article
Language:English
Subjects:
Arm - blood supply
Arm - innervation
Blood Vessel Prosthesis Implantation - adverse effects
Diabetic Nephropathies - complications
Female
Humans
Hypertension - etiology
Ischemia - etiology
Middle Aged
Peripheral Nervous System Diseases - etiology
Polytetrafluoroethylene
Postoperative Complications - etiology
Renal Dialysis
Renal Insufficiency - therapy
Upper Extremity - blood supply
Upper Extremity - innervation
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Summary: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.
ISSN:0030-9982