동맥혈액채취를 위한 위팔동맥 천자 후 발생한 허혈성 신경병증 1예|RISS 상세보기

다국어 초록 (Multilingual Abstract)

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced
by shunting blood or acute noncompressive occlusion of the major proximal limb artery. IMN is
seen almost exclusively in diabetic hemodialysis patients. We report a case of ischemic monomelic neuropathy
occurring after brachial artery puncture for arterial blood sampling. The patient was a 1-monthold
female baby born at 34 weeks gestation. Right brachial artery was punctured for routine arterial blood
sampling. After that her right forearm was discovered to be cyanotic. We found decreased brachial artery
blood flow by doppler ultrasonography and thus performed emergency angioplasty. Thirteen days after
angioplasty, electrodiagnostic study showed multiple peripheral nerve injuries of median, ulnar and radial
nerves. Six months later, her forearm was fully recovered clinically and electrophysiologically.

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참고문헌 (Reference)

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3 Miles AM, "Upper limb ischaemia after vascular access surgery: differential diagnosis and management" 13 : 312-315, 2000

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8 Hye RJ, "Ischaemic monomelic neuropathy: an under-recognized complication of hemodialysis access" 8 : 578-582, 1994

9 Kaku DA, "Conduction block as an early sign of reversible injury in ischemic monomelic neuropathy" 43 : 1126-1130, 1993

10 Kelly CJ, "An investigation of the pathophysiology of ischemic neuropathy" 5 : 535-539, 1991