Ischemic monomelic neuropathy

Ischemic monomelic neuropathy is a rare, immediate, limb-threatening complication of hemodialysis access surgery.[1][2]

Symptoms are acute hand pain and forearm muscle weakness. The major risk factors are the presence of diabetes mellitus, and the creation of a brachial artery-to-cephalic vein fistula as the vascular access. The treatment is prompt sacrifice of the access by surgical ligation.

References
  1. Wodicka, R; Isaacs, J (May 2010). "Ischemic monomelic neuropathy". The Journal of Hand Surgery. 35 (5): 842–3. doi:10.1016/j.jhsa.2009.08.014. PMID 19942360.
  2. Thermann, F; Kornhuber, M (2011). "Ischemic monomelic neuropathy: a rare but important complication after hemodialysis access placement--a review". The Journal of Vascular Access. 12 (2): 113–9. doi:10.5301/JVA.2011.6365. PMID 21360465.


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