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Ischemic monomelic neuropathy
1Department of Neurology, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.
Journal of Postgraduate Medicine
|November 18, 2016
Summary
Ischemic monomelic neuropathy is a rare complication of arteriovenous fistula creation for hemodialysis. This condition can cause acute nerve damage, leading to pain, weakness, and potentially permanent disability.
Area of Science:
- Nephrology
- Neurology
- Vascular Surgery
Background:
- Arteriovenous (AV) fistulas are crucial for hemodialysis access.
- Complications can arise from altered blood flow dynamics post-creation.
Observation:
- Ischemic monomelic neuropathy (IMN) is an uncommon complication of AV fistula creation.
- It involves shunting of arterial blood away from the distal extremity, damaging nerve fibers.
- Symptoms include muscle pain, weakness, and a warm hand with palpable pulses within an hour of fistula creation.
Findings:
- This report details two cases of IMN following brachiocephalic AV fistula creation for hemodialysis.
- The condition presents with acute neurologic symptoms due to distal nerve ischemia.
Implications:
- IMN is a devastating complication that can lead to permanent disability.
- Early recognition and management are crucial for patients undergoing AV fistula creation.
- Understanding this complication is vital for nephrologists, neurologists, and vascular surgeons.
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