혈액투석을 위한 상완동맥-두정맥 단락술 후 발생한 허혈성 신경병증 1예

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.