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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2002  |  Volume : 13  |  Issue : 1  |  Page : 60-62
Ischemic Monomelic Neuropathy: A Complication of Vascular Access Procedure

1 Section of Nephrology, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan
2 Section of Neurology, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan
3 Aga Khan University Medical College, Karachi, Pakistan

Correspondence Address:
Malik Anas Rabbani
Department of Medicine, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800
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PMID: 18209415

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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.

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