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Ischemic monomelic neuropathy. | LitMetric

Ischemic monomelic neuropathy.

J Postgrad Med

Department of Neurology, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.

Published: August 2019

AI Article Synopsis

  • Ischemic monomelic neuropathy is a rare but serious complication that can occur after creating an arteriovenous (AV) fistula for hemodialysis, leading to reduced blood flow and nerve damage in the extremities.
  • Symptoms may develop as early as one hour after the procedure, including muscle pain, weakness, and a warm hand with a strong pulse.
  • The condition can lead to severe complications and permanent disability, with the report detailing two cases linked to a specific type of AV fistula for dialysis access.

Article Abstract

Ischemic monomelic neuropathy is an uncommon complication associated with the creation of arteriovenous (AV) fistula for hemodialysis. After placement of an arteriovenous fistula, there can be shunting of arterial blood away from the distal extremity resulting in damage to distal nerve fibers with acute neurologic symptoms. It can present with global muscle pain, weakness, and a warm hand with palpable pulses starting within the 1 st h after the creation of the AV fistula. It is a devastating complication and can result in permanent disability. We hereby report two cases of ischemic monomelic neuropathy associated with the creation of a brachiocephalic AV fistula for hemodialysis access.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394817PMC
http://dx.doi.org/10.4103/0022-3859.194221DOI Listing

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