Recovery from ischemic monomelic neuropathy after delayed ligation of dialysis access
| Autor: | Cheolsu Kim, Sam-Youl Yoon, Hyung Seok Lee |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Clinical course Vascular access Arteriovenous fistula Muscle weakness medicine.disease Dialysis access Nephrology Internal medicine Nerve conduction study Cardiology Medicine Surgery Hemodialysis medicine.symptom business Ligation |
| Zdroj: | The Journal of Vascular Access. 22:314-318 |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.1177/1129729820913376 |
| Popis: | 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. The gradual change in serial nerve conduction studies over the 15-month follow-up after surgical ligation was noted along with clinical recovery. Our report indicates that the clinical course and prognosis of ischemic monomelic neuropathy may be more diverse than previously known. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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