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| http://dx.doi.org/10.3904/kjim.2013.28.2.251 | DOI Listing |
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Ischemic Monomelic Neuropathy After Dialysis Access Creation Requiring Emergent Fistula Ligation.
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Ischemic monomelic neuropathy following arteriovenous fistula surgery: a case report.
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Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Ischemic monomelic neuropathy (IMN) is an uncommon complication of arteriovenous fistula (AVF) surgery that presents with pain, motor weakness, and sensory changes without critical ischemia. This report describes a rare case of successful IMN treatment after AVF surgery. A 61-year-old man with diabetic end-stage kidney disease was admitted for left brachiocephalic AVF surgery.
View Article and Find Full Text PDFIschemic monomelic neuropathy (IMN) is a rare complication of arteriovenous fistulas (AVFs) and arteriovenous grafts (AVGs). Diagnosis of the condition is often delayed, with debilitating outcomes for patients. We present two cases of IMN in which prompt identification and intervention prevented major disability.
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Ischemic monomelic neuropathy (IMN) is a relatively uncommon and under-recognized complication of vascular access creation for arteriovenous (AV) fistula in hemodialysis patients. They usually develop distal muscle weakness, sensation loss, and severe acute pain without muscle necrosis soon after AV fistula creation. Physicians should be aware of this condition as prompt diagnosis and timely vascular interventions are necessary to save the limbs and prevent permanent functional disability.
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