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.
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http://dx.doi.org/10.1016/j.avsg.2016.11.019 | DOI Listing |
Mayo Clin Proc
December 2024
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
J Yeungnam Med Sci
November 2024
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 PDFJ Hand Surg Am
August 2024
Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:
Ischemic 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.
View Article and Find Full Text PDFJ Community Hosp Intern Med Perspect
May 2023
Mercy Hospital Springfield, 1235 E. Cherokee Street, Springfield, MO, 65804, USA.
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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