Ischaemic monomelic neuropathy of the lower limb
Background: Ischaemic mononeuropathy (IMN) is a rarely reported type of peripheral neuropathy secondary to an ischaemic injury, due to a complication of haemodialysis access. Although underreported, this phenomenon typically occurs in diabetic patients and may reflect the predisposition to neuropath...
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| Veröffentlicht in: | The journal of vascular access 2024-07, Vol.25 (4), p.1345-1346 |
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| container_title | The journal of vascular access |
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| creator | Moughal, Saad Elmetwally, Ahmed Bashir, Mohamad Al-Khaffaf, Haytham |
| description | Background: Ischaemic mononeuropathy (IMN) is a rarely reported type of peripheral neuropathy secondary to an ischaemic injury, due to a complication of haemodialysis access. Although underreported, this phenomenon typically occurs in diabetic patients and may reflect the predisposition to neuropathic injury on a background of chronic deleterious changes in the microvasculature in diabetes. It is characterised by mononeuropathic features such as paraesthesia, pain and motor weakness and usually is reported as a rare complication of brachiocephalic fistula. We report a case of IMN which occurred in a patient with end-stage diabetic nephropathy following polytetrafluoroethylene (PTFE) graft placement in the groin as vascular access for haemodialysis. |
| doi_str_mv | 10.1177/11297298231160577 |
| format | Article |
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Although underreported, this phenomenon typically occurs in diabetic patients and may reflect the predisposition to neuropathic injury on a background of chronic deleterious changes in the microvasculature in diabetes. It is characterised by mononeuropathic features such as paraesthesia, pain and motor weakness and usually is reported as a rare complication of brachiocephalic fistula. 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Although underreported, this phenomenon typically occurs in diabetic patients and may reflect the predisposition to neuropathic injury on a background of chronic deleterious changes in the microvasculature in diabetes. It is characterised by mononeuropathic features such as paraesthesia, pain and motor weakness and usually is reported as a rare complication of brachiocephalic fistula. We report a case of IMN which occurred in a patient with end-stage diabetic nephropathy following polytetrafluoroethylene (PTFE) graft placement in the groin as vascular access for haemodialysis.</description><subject>Aged</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Diabetic Nephropathies - diagnosis</subject><subject>Diabetic Nephropathies - therapy</subject><subject>Humans</subject><subject>Ischemia - etiology</subject><subject>Ischemia - physiopathology</subject><subject>Ischemia - therapy</subject><subject>Kidney Failure, Chronic - diagnosis</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Lower Extremity - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mononeuropathies - diagnosis</subject><subject>Mononeuropathies - etiology</subject><subject>Mononeuropathies - physiopathology</subject><subject>Polytetrafluoroethylene</subject><subject>Renal Dialysis</subject><subject>Treatment Outcome</subject><issn>1129-7298</issn><issn>1724-6032</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1LAzEQxYMoVqt_gBfZo5etmXxsNkcpfhQKXvQcku2s3bK7qcku0v_elFYvgjAwD-b3Hswj5AboDECpewCmFdMl4wAFlUqdkAtQTOQF5ew06XTP98CEXMa4oZRpCeKcTLjiUlAOF4QuYrW22DVV1vned9gm1eMY_NYO613m62xYY9b6LwxZ23TuipzVto14fdxT8v70-DZ_yZevz4v5wzKvmGZD7lilEStBXUG14FbKQjtwpdaiVCWCYyVzUklb6BJLgSgkE6vaWb6SaSSfkrtD7jb4zxHjYLomVti2tkc_RpP8KRcEFAmFA1oFH2PA2mxD09mwM0DNvijzp6jkuT3Gj67D1a_jp5kEzA5AtB9oNn4MfXr3n8RvRWtucQ</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Moughal, Saad</creator><creator>Elmetwally, Ahmed</creator><creator>Bashir, Mohamad</creator><creator>Al-Khaffaf, Haytham</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3735-4841</orcidid></search><sort><creationdate>20240701</creationdate><title>Ischaemic monomelic neuropathy of the lower limb</title><author>Moughal, Saad ; Elmetwally, Ahmed ; Bashir, Mohamad ; Al-Khaffaf, Haytham</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-b2c9eec40b60943a5569b1b8994878e1b282b575a698e84ee4524dfba3d53d553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>Diabetic Nephropathies - diagnosis</topic><topic>Diabetic Nephropathies - therapy</topic><topic>Humans</topic><topic>Ischemia - etiology</topic><topic>Ischemia - physiopathology</topic><topic>Ischemia - therapy</topic><topic>Kidney Failure, Chronic - diagnosis</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Lower Extremity - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mononeuropathies - diagnosis</topic><topic>Mononeuropathies - etiology</topic><topic>Mononeuropathies - physiopathology</topic><topic>Polytetrafluoroethylene</topic><topic>Renal Dialysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moughal, Saad</creatorcontrib><creatorcontrib>Elmetwally, Ahmed</creatorcontrib><creatorcontrib>Bashir, Mohamad</creatorcontrib><creatorcontrib>Al-Khaffaf, Haytham</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of vascular access</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moughal, Saad</au><au>Elmetwally, Ahmed</au><au>Bashir, Mohamad</au><au>Al-Khaffaf, Haytham</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ischaemic monomelic neuropathy of the lower limb</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>25</volume><issue>4</issue><spage>1345</spage><epage>1346</epage><pages>1345-1346</pages><issn>1129-7298</issn><issn>1724-6032</issn><eissn>1724-6032</eissn><abstract>Background: Ischaemic mononeuropathy (IMN) is a rarely reported type of peripheral neuropathy secondary to an ischaemic injury, due to a complication of haemodialysis access. Although underreported, this phenomenon typically occurs in diabetic patients and may reflect the predisposition to neuropathic injury on a background of chronic deleterious changes in the microvasculature in diabetes. It is characterised by mononeuropathic features such as paraesthesia, pain and motor weakness and usually is reported as a rare complication of brachiocephalic fistula. We report a case of IMN which occurred in a patient with end-stage diabetic nephropathy following polytetrafluoroethylene (PTFE) graft placement in the groin as vascular access for haemodialysis.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>37354031</pmid><doi>10.1177/11297298231160577</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0003-3735-4841</orcidid></addata></record> |
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| identifier | ISSN: 1129-7298 |
| ispartof | The journal of vascular access, 2024-07, Vol.25 (4), p.1345-1346 |
| issn | 1129-7298 1724-6032 1724-6032 |
| language | eng |
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| source | MEDLINE; SAGE Complete |
| subjects | Aged Arteriovenous Shunt, Surgical - adverse effects Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Diabetic Nephropathies - diagnosis Diabetic Nephropathies - therapy Humans Ischemia - etiology Ischemia - physiopathology Ischemia - therapy Kidney Failure, Chronic - diagnosis Kidney Failure, Chronic - therapy Lower Extremity - blood supply Male Middle Aged Mononeuropathies - diagnosis Mononeuropathies - etiology Mononeuropathies - physiopathology Polytetrafluoroethylene Renal Dialysis Treatment Outcome |
| title | Ischaemic monomelic neuropathy of the lower limb |
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