Soonchunhyang Med Sci.  2014 Dec;20(2):180-183. 10.0000/sms.2014.20.2.180.

Ischemic Monomelic Neuropathy of Both Upper Extremity: A Complication of Hemodialysis Access Procedure

• Song D

• KMID: 2317752
• DOI: http://doi.org/10.0000/sms.2014.20.2.180

Abstract

The vascular access for hemodialysis is 'life line' for end stage renal failure patients. Ischemic monomelic neuropathy is a rare complication of vascular access proceduced by shunting of blood or due to acute noncompressive occlusion of the major proximal limb artery. And this is important complication, which can lead to severe and irreversible disability. Early diagnosis and treatment of this complication is essential to prevent irreversible disability. This complication mainly occurs in diabetic patients with evidence of peripheral neuropathy and vasculitis. Author report a case of ischemic monomelic neuropathy occurring in a chronic renal failure patient following arteriovenous graft placement in upper arm for permanent hemodialysis.

Keyword

Ischemic monomelic neuropathy; Vascular access; Hemodialysis

MeSH Terms

Arm
Arteries
Early Diagnosis
Extremities
Humans
Kidney Failure, Chronic
Peripheral Nervous System Diseases
Renal Dialysis*
Renal Insufficiency
Transplants
Upper Extremity*
Vasculitis