36 results match your criteria Ischemic Monomelic Neuropathy

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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 Apr 8. 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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http://dx.doi.org/10.1007/s00270-019-02217-6DOI Listing

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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http://dx.doi.org/10.5301/jva.5000743DOI Listing
November 2017
62 Reads
1.020 Impact Factor

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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http://dx.doi.org/10.12968/hmed.2017.78.5.292DOI Listing
May 2017
9 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S08905096173043
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http://dx.doi.org/10.1016/j.avsg.2016.11.019DOI Listing
July 2017
9 Reads

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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http://dx.doi.org/10.1177/2054358116669127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332082PMC
September 2016
11 Reads

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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http://dx.doi.org/10.4103/0022-3859.194221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394817PMC
November 2016
16 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S24680249163006
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http://dx.doi.org/10.1016/j.ekir.2016.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678663PMC
January 2017
6 Reads

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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http://dx.doi.org/10.5301/jva.5000394DOI Listing
May 2016
13 Reads

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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http://dx.doi.org/10.1159/000366050DOI Listing
November 2015
19 Reads

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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http://dx.doi.org/10.1016/j.avsg.2014.04.004DOI Listing
October 2014
5 Reads

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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http://www.kjim.org/upload/kjim-28-251.pdf
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August 2011
25 Reads

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

Authors:
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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May 2011
13 Reads

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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http://dx.doi.org/10.1016/j.jhsa.2009.08.014DOI Listing
May 2010
7 Reads

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
8 Reads

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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https://academic.oup.com/ndt/article-lookup/doi/10.1093/ndt/
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http://dx.doi.org/10.1093/ndt/gfl722DOI Listing
March 2007
8 Reads

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
16 Reads

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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http://www.neurology.org/content/57/6/1008.full.pdf
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September 2001
9 Reads

Ischemic peripheral neuropathy.

Authors:
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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May 2001
36 Reads

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

Authors:
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
5 Reads

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
8 Reads

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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http://dx.doi.org/10.3810/pgm.1997.10.344DOI Listing
October 1997
6 Reads

Hand ischemia in patients with hemodialysis access grafts: angiographic diagnosis and treatment.

Radiology 1995 Sep;196(3):697-701

Department of Radiology, University of California, San Diego Medical Center 92103-8756, USA.

Purpose: To determine the cause of symptoms and efficacy of transcatheter therapy in a series of patients with dialysis grafts and hand pain referred for arteriography.

Materials And Methods: Thirteen patients with 14 hemodialysis grafts underwent arteriography for possible hand ischemia. The sites of proximal graft anastomosis were the distal radial artery (n = 6) and the mid- to distal brachial artery (n = 6). Read More

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http://dx.doi.org/10.1148/radiology.196.3.7644631DOI Listing
September 1995
6 Reads

Ischemic monomelic neuropathy: an under-recognized complication of hemodialysis access.

Authors:
R J Hye Y G Wolf

Ann Vasc Surg 1994 Nov;8(6):578-82

Department of Surgery, University of California, San Diego 92103-8401.

During the past 3 years six episodes of ischemic monomelic neuropathy (IMN) have been identified in five patients as a complication of upper extremity dialysis grafts. All patients had long-standing insulin-dependent diabetes, peripheral neuropathy, and brachial artery graft origins, whereas 60% had peripheral vascular disease. Five episodes occurred immediately after graft placement, whereas one was due to a graft-related thromboembolus. Read More

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http://dx.doi.org/10.1007/BF02017415DOI Listing
November 1994
5 Reads

Chronic ischaemic monomelic neuropathy.

J Assoc Physicians India 1993 Oct;41(10):683-4

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October 1993
3 Reads

Conduction block as an early sign of reversible injury in ischemic monomelic neuropathy.

Neurology 1993 Jun;43(6):1126-30

Department of Neurology, Louisiana State University School of Medicine, New Orleans.

We report three patients with reversible motor conduction block in the forearm associated with ischemic monomelic neuropathy (IMN), which occurred in two patients following placement of brachial artery-cephalic vein shunts for hemodialysis. In the third patient, IMN resulted from spontaneous, probably embolic, brachial artery occlusion. Conduction block was observed shortly after the onset of symptoms, and preferentially involved the median nerve. Read More

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June 1993
4 Reads

Erythromycin-associated ergotamine intoxication: arteriographic and electrophysiologic analysis of a rare cause of severe ischemia of the lower extremities and associated ischemic neuropathy.

Ann Vasc Surg 1993 May;7(3):291-6

Department of Surgery, St. Sacrement Hospital, Laval University, Quebec, Canada.

Vasospasm associated with ergotamine is a well-known phenomenon. In this case report we present a rare drug interaction between erythromycin and ergotamine at normal doses causing lower extremity ischemia in a 36-year-old woman. Nitroprusside proved to be the treatment of choice. Read More

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http://dx.doi.org/10.1007/BF02000258DOI Listing
May 1993
4 Reads

[Monomelic ischemic neuropathy caused by subclavian artery obstruction].

Rev Neurol (Paris) 1992 ;148(3):232-4

Service de Neurologie, Centre hospitalier Universitaire Vaudois, Lausanne, Suisse.

A case study of acute ischemic monomelic neuropathy due to occlusion of the right subclavian artery is reported. The occlusion was embolic. Clinical examination showed sensory loss and severe distal weakness of the limb without obvious muscle necrosis. Read More

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July 1992
8 Reads

Chronic pain after methysergide: a new cause of ischemic monomelic neuropathy.

Authors:
J F Antognini

Reg Anesth 1991 Nov-Dec;16(6):337-8

Department of Anesthesiology, Davis, University of California, School of Medicine.

Chronic foot pain developed in a 43-year-old woman after taking methysergide, a potent vasoconstrictor. The etiology was believed to be ischemic monomelic neuropathy, which results from the compromise of blood flow to an extremity. The patient eventually required a surgical sympathectomy after lumbar sympathetic blocks failed to provide permanent relief. Read More

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March 1992
4 Reads

AAEE case report #19: ischemic monomelic neuropathy.

Authors:
K H Levin

Muscle Nerve 1989 Oct;12(10):791-5

Department of Neurology, Cleveland Clinic Foundation, OH 44106.

A case study of a 50-year-old man who awakened from aortobifemoral bypass graft surgery with painful burning and numbness of the left foot is reported. Angiography showed embolic occlusion of the left popliteal artery proximal to the knee. Nerve conduction studies performed 1 year after occlusion showed loss or severe reduction of distal left sensory and motor amplitudes, and needle electrode examination showed fibrillation potentials in foot and distal leg muscles. Read More

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http://dx.doi.org/10.1002/mus.880121002DOI Listing
October 1989
5 Reads

Upper extremity ischemic monomelic neuropathy: a complication of vascular access procedures in uremic diabetic patients.

Neurology 1989 Jul;39(7):997-8

Department of Neurology, West Virginia University School of Medicine, Morgantown 26506.

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July 1989
4 Reads

Ischemic monomelic neuropathy.

Neurology 1983 Apr;33(4):447-51

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by the shunting of blood away from, or the acute noncompressive occlusion of, a major proximal limb artery. IMN consists of multiple axonal-loss mononeuropathies that develop acutely and simultaneously in the distal portion of a limb. We found stereotyped clinical and EMG features in 14 patients. Read More

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April 1983
8 Reads
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