A Case of Ischemic Monomelic Neuropathy after Arteriovenous Fistula Placement

Ischemic monomelic neuropathy (IMN) is a relatively uncommon and under-recognized complication of vascular access creation for arteriovenous (AV) fistula in hemodialysis patients. They usually develop distal muscle weakness, sensation loss, severe acute pain without necrosis soon after AV creation. Physicians should be aware this condition as prompt diagnosis timely interventions are necessary to save the limbs prevent permanent functional disability. Once IMN made, patients will need emergent ligation restore perfusion. We report case 59-year-old male patient with End-stage Renal Disease on who developed pain, loss left arm few hours brachiocephalic He was subsequently diagnosed ischemic underwent ligation. Symptoms were relieved immediately