A Case of Ischemic Neuropathy after Brachial Artery-Cephalic Vein Shunt for Hemodialysis

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J Korean Assoc EMG Electrodiagn Med 2001;3(2):88-91.
Published online May 10, 2001.

Abstract

Ischemic monomelic neuropathy (IMN) is an acute vascular syndrome with multiple nerve injury in one limb. Here we report a patient of IMN after the brachial artery-cephalic vein shunt (B-V shunt) operation for hemodialysis. The patient was a 65-year-old diabetic man with chronic renal failure, who came to the hospital due to acute pulmonary edema. Severe pain, dysesthesia and weakness of left forearm and hand appeared after B-V shunt operation. Electrophysiologic studies showed multiple peripheral nerve injuries of median, radial and ulnar nerve. The angioplasty was performed on 50th days after the shunt operation and there was only partial improvement clinically.

Key Words: Ischemic monomelic neuropathy, Brachial artery-cephalic vein shunt, Hemodialysis

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