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Case Reports
. 2017 Jan-Mar;63(1):42-43.
doi: 10.4103/0022-3859.194221.

Ischemic monomelic neuropathy

S Sheetal  1 , P Byju  1 , P Manoj  1
Affiliations
Case Reports

Ischemic monomelic neuropathy

S Sheetal et al. J Postgrad Med. 2017 Jan-Mar.

Abstract

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. It is a devastating complication and can result in permanent disability. We hereby report two cases of ischemic monomelic neuropathy associated with the creation of a brachiocephalic AV fistula for hemodialysis access.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Left brachiocephalic arteriovenous fistula. (b) Clawing of the left hand. (c) Inability to extend wrist and fingers of the left hand
See this image and copyright information in PMC

References

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