40 results match your criteria Ischemic Monomelic Neuropathy

Ischemic Monomelic Neuropathy after Percutaneous Arteriovenous Fistula Creation.

J Vasc Interv Radiol 2021 04 19;32(4):624-626. Epub 2021 Jan 19.

Division of Vascular and Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06520.

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Ischemic Monomelic Neuropathy: The Case for Reintroducing a Little-Known Term.

Can J Neurol Sci 2020 09 4;47(5):697-699. Epub 2020 May 4.

Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Ischemic monomelic neuropathy (IMN) is a little-known, painful axonal neuropathy, secondary to vascular occlusion or steal phenomenon. It typically occurs after vascular bypass, hemodialysis fistulization, or diabetic microvascular disease in the absence of significant clinical features of ischemia. There is limited literature to assist in the characterization and diagnosis of this condition. Read More

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September 2020

Recovery from ischemic monomelic neuropathy after delayed ligation of dialysis access.

J Vasc Access 2021 Mar 23;22(2):314-318. Epub 2020 Mar 23.

Division of Nephrology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang-si, Republic of Korea.

Ischemic monomelic neuropathy is characterized by acute painful muscle weakness shortly after access creation and neuronal axon loss without adjacent tissue necrosis, thus, differentiating ischemic monomelic neuropathy from the steal syndrome. Immediate ligation of vascular access is emphasized in current guidelines. We present two cases of recovery from ischemic monomelic neuropathy despite delayed ligation for over 20 days after ischemic monomelic neuropathy development. Read More

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Ischemic Monomelic Neuropathy after Arteriovenous Fistula Surgery: Clinical Features, Electrodiagnostic Findings, and Treatment.

Cureus 2019 Jul 22;11(7):e5191. Epub 2019 Jul 22.

Neurology, University of Missouri, Columbia, USA.

Ischemic monomelic neuropathy (IMN) is a rare complication of vascular access in the hemodialysis patients, characterized by multiple mononeuropathies in the absence of clinical ischemia. Most commonly seen in the female gender, diabetes mellitus, and it must be differentiated from vascular steal syndrome, where we see clinical ischemia as the main pathognomonic feature. Early recognition of the symptoms and prompt intervention was shown to be beneficial. Read More

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Monomelic Ischemic Neuropathy of the Tibial and Peroneal Nerve After Onyx Embolization of Vasa Nervorum Supplying a Surgically Excluded Popliteal Artery Aneurysm.

Cardiovasc Intervent Radiol 2019 Jul 8;42(7):1041-1044. Epub 2019 Apr 8.

Department of Radiology and Nuclear Medicine, Canton Hospital Winterthur, 8401, Winterthur, Switzerland.

Ischemic neuropathy is an exceedingly rare complication after peripheral artery embolization. We report a case of ischemic damage to the tibial and peroneal nerve after embolization of the vasa nervorum that served as feeding collaterals to a surgically excluded popliteal artery aneurysm. Read More

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Ischemic monomelic neuropathy: a long-term follow-up of two cases.

J Vasc Access 2017 Nov 17;18(6):e89-e91. Epub 2017 Nov 17.

 Division of Nephrology and Hypertension, Department of Medicine, Albany Medical College, Albany, NY - USA.

Introduction: Ischemic monomelic neuropathy (IMN) is the most dreaded complication of an arteriovenous access creation. While uncommon, it can lead to pain, paresthesia or/and hand weakness. Creation of an arteriovenous connection causing a sudden diversion of blood away from the nerves can lead to ischemic injury to the neural tissue and cause IMN. Read More

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November 2017

Late presentation of ischaemic monomelic neuropathy after vascular access surgery.

Br J Hosp Med (Lond) 2017 May;78(5):292-293

Consultant Renal Surgeon, Department of Renal Surgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH.

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A Case of Acute Ischemic Monomelic Neuropathy and Review of the Literature.

Ann Vasc Surg 2017 Jul 22;42:301.e1-301.e5. Epub 2017 Mar 22.

Penn Presbyterian Medical Center and the Hospital of the University of Pennsylvania, Philadelphia, PA.

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. Read More

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Arteriovenous Access: Infection, Neuropathy, and Other Complications.

Can J Kidney Health Dis 2016 27;3:2054358116669127. Epub 2016 Sep 27.

Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.

Complications of vascular access lead to morbidity and may reduce quality of life. In this module, we review both infectious and noninfectious arteriovenous access complications including neuropathy, aneurysm, and high-output access. For the challenging patients who have developed many complications and are now nearing their last vascular access, we highlight some potentially novel approaches. Read More

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September 2016

Ischemic monomelic neuropathy.

J Postgrad Med 2017 Jan-Mar;63(1):42-43

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

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. Read More

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Ischemic Monomelic Neuropathy: Diagnosis, Pathophysiology, and Management.

Kidney Int Rep 2017 Jan 27;2(1):76-79. Epub 2016 Aug 27.

Department of Internal Medicine, Creighton University Medical Center, VA Medical Center, Omaha, Nebraska, USA.

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January 2017

Early access ligation resolves presumed ischaemic monomelic neuropathy in a patient with recurrence of central venous occlusion.

J Vasc Access 2015 Jul-Aug;16(4):344-6. Epub 2015 Apr 28.

Department of Vascular Access, St George's Vascular Institute, London - UK.

Purpose: Ischaemic monomelic neuropathy (IMN) is a rare but serious complication of haemodialysis access procedures, with a highly variable clinical presentation. We present a case of presumed IMN managed with ligation of the prosthetic brachial-axillary access, leading to recovery of neurological function.

Methods: A 75-year-old male who underwent placement of a left prosthetic brachial-axillary access developed a swollen left upper limb following surgery and underwent interventional management for central venous occlusion. Read More

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Vascular access-induced hand ischemia: risks and safe management.

Contrib Nephrol 2015 9;184:164-75. Epub 2015 Feb 9.

Departments of Vascular and Thoracic Surgery, University Hospital Grenoble, Grenoble, France.

Hand ischemia is rare but complex and multifactorial. Distal arteriopathy below the vascular access (VA) is responsible in the vast majority of patients and not a problem of high flow of the VA. Therefore, surgical technique should focus on improving blood flow and pressure instead of reducing blood flow. Read More

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November 2015

Neurological and electrophysiological parameters as outcome measurements for peripheral arterial occlusive disease.

Ann Vasc Surg 2014 Oct 22;28(7):1703-11. Epub 2014 May 22.

Department of Surgery, Haeundae Paik Hospital, Inje University, Busan, Republic of Korea. Electronic address:

Background: Ischemic monomelic neuropathy is not an uncommon complication of peripheral arterial occlusive disease (PAOD). However, many investigators have used revascularization, limb salvage, and complete wound healing rates instead of neurologic and electrophysiological parameters as outcome measurements of PAOD. The aim of the study is to investigate the neurologic and electrophysiological parameters associated with PAOD and to find the ideal tools for assessing PAOD. Read More

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October 2014

Ischemic monomelic neuropathy: a rare but important complication after hemodialysis access placement--a review.

J Vasc Access 2011 Apr-Jun;12(2):113-9

Department of Vascular Surgery, University Teaching Hospital St. Elisabeth and St. Barbara, Halle, Germany.

The creation of a vascular access for hemodialysis is a frequently performed procedure. Ischemic monomelic neuropathy (IMN) is a rare, but important complication of hemodialysis access (HA) procedures, which can lead to severe and nonreversible limb dysfunctions. Therefore, in any case of postoperative neurological malfunction, immediate neurological investigations should be undertaken. Read More

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Ischemic monomelic neuropathy: an underappreciated cause of pain and disability following vascular access surgery.

Lee Kirksey

J Vasc Access 2010 Apr-Jun;11(2):165-8

Department of Vascular Surgery, The University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

The establishment and maintenance of a functioning arteriovenous access site is essential for the care of the hemodialysis (HD) patient. Ischemic monomelic neuropathy (IMN) represents an underappreciated complication and an unrecognized source of short- and long-term disability because of its protean manifestations in the post-operative period. Delayed diagnosis of IMN greatly reduces the chance of avoiding irreversible disability. Read More

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Ischemic monomelic neuropathy.

J Hand Surg Am 2010 May 26;35(5):842-3. Epub 2009 Nov 26.

Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.

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Ischemic monomelic neuropathy: a complication of vascular access procedure.

Saudi J Kidney Dis Transpl 2002 Jan-Mar;13(1):60-2

Section of Nephrology, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by shunting blood or acute occlusion of a major proximal artery in the extremities. IMN predominantly occurs in diabetic patients with evidence of peripheral atherosclerotic vascular disease and neuropathy. We report a case of ischemic monomelic neuropathy occurring in a diabetic patient with end-stage renal disease following the placement of polytetrafluoroethylene (PTFE) graft as a vascular access in the proximal upper arm for chronic hemodialysis. Read More

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October 2012

Ischaemic monomelic neuropathy in a non-diabetic patient following creation of an upper limb arteriovenous fistula.

Nephrol Dial Transplant 2007 Mar 13;22(3):933-5. Epub 2006 Dec 13.

Department of Nephrology, The Queen Elizabeth Hospital, Woodville South Australia 5011.

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Ischemic monomelic neuropathy: a complication of vascular access procedure.

J Pak Med Assoc 2005 Sep;55(9):400-1

Department of Medicine, Aga Khan University Hospital, Karachi.

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by shunting of blood or due to acute noncompressive occlusion of the major proximal limb artery. Most reports about this complication appear in the neurology literature. IMN predominantly occurs in diabetic patients with evidence of peripheral neuropathy and atherosclerotic peripheral vascular disease. Read More

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September 2005

Chronic ischemic monomelic neuropathy from critical limb ischemia.

Neurology 2001 Sep;57(6):1008-12

Department of Neurology, Tufts University School of Medicine, St. Elizabeth's Medical Center, Boston, MA 02135, USA.

Objective: To describe the peripheral neuropathy resulting from chronic and critical arterial leg ischemia.

Methods: The authors evaluated 19 patients on entry to a gene therapy treatment trial for chronic and critical leg ischemia. Measurements included medical history, examination, neurologic symptom (NSS) and neurologic examination (NES) scores, motor and sensory nerve conduction studies, and quantitative sensory testing. Read More

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September 2001

Ischemic peripheral neuropathy.

V Ugalde B S Rosen

Phys Med Rehabil Clin N Am 2001 May;12(2):365-80

Department of Physical Medicine and Rehabilitation, University of California Davis, Sacramento, California, USA.

Ischemic neuropathy from sources other than diabetes is less common, but can be encountered in clinical practice. Diagnosis can be challenging, and many patients may be referred to the electrodiagnostic laboratory. Overlapping mononeuritis multiplex is a common presentation, but distal symmetric polyneuropathy and monomelic neuropathy patterns can be seen. Read More

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Upper limb ischemia after vascular access surgery: differential diagnosis and management.

A M Miles

Semin Dial 2000 Sep-Oct;13(5):312-5

Department of Medicine, University of Miami School of Medicine, Florida, USA.

Hand ischemia following placement of upper limb arteriovenous accesses for dialysis may result in debilitating complications and contribute to morbidity and mortality on dialysis. Two distinct clinical variants of hand ischemia are recognized: vascular steal syndrome, in which a spectrum of severity of ischemic changes affect all tissues of the hand; and ischemic monomelic neuropathy, where ischemia is confined to the nerves of the hand. Early diagnosis and treatment of these complications (often including closure of the access) is imperative to prevent hand paralysis, and digital or hand amputation. Read More

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February 2001

Indications for surgical treatment of angioaccess-induced arterial "steal".

J Am Coll Surg 1998 Oct;187(4):422-6

Department of Vascular Surgery, Athens General Hospital G. Gennimatas, Greece.

Background: Arterial "steal" is a well-known complication following proximal arteriovenous (AV) fistula, but its manifestations comprise a wide spectrum of symptoms and there are no clear indications for those patients who need surgical repair.

Study Design: Among 180 consecutive AV fistulas of various configurations, with the brachial artery as the donor artery in all patients, 111 patients were studied retrospectively (group A) and 69 patients were studied prospectively (group B). Patient records were reviewed in group A, and the decision for surgical correction of limb-threatening steal was based on clinical grounds only. Read More

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October 1998

Peripheral neuropathy in patients with chronic renal failure. A treatable source of discomfort and disability.

Postgrad Med 1997 Oct;102(4):249-50, 255-7, 261

Division of neurology, Medical College of Ohio, Toledo 43699-0008, USA.

Uremic polyneuropathy occurs in about half of patients undergoing dialysis and is characterized by axonal degeneration with secondary segmental demyelination. Hemodialysis or peritoneal dialysis halts the progress of polyneuropathy but usually does not bring improvement. However, improvement invariably occurs with successful renal transplantation. Read More

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October 1997