Ischemic monomelic neuropathy : a complication of vascular access procedure

Abstract EN

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.