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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Ischemic Monomelic Neuropathy: The Case for Reintroducing a Little-Known Term
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Ischemic Monomelic Neuropathy: The Case for Reintroducing a Little-Known Term

机译:缺血性单体神经病变:重新引入众所周知的术语的情况

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摘要

Ischemic monomelic neuropathy (IMN) is a little-known, painful axonal neuropathy, secondary to vascular occlusion or steal phenomenon. It typically occurs after vascular bypass, hemodialysis fistulization, or diabetic microvascular disease in the absence of significant clinical features of ischemia. There is limited literature to assist in the characterization and diagnosis of this condition. We describe three patients with IMN with no surgical or peripheral vascular disease history who exhibited spontaneous, persistent foot pain, edema numbness, and weakness with denervation on needle electromyogram in a distal lower leg peripheral nerve distribution. Occlusive disease was found in all patients on angiogram, requiring vascular bypass surgery.
机译:缺血性单药神经病(IMN)是一种鲜为人知的疼痛性轴索神经病,继发于血管闭塞或盗血现象。它通常发生在血管搭桥术、血液透析造瘘术或糖尿病微血管疾病后,缺乏明显的缺血临床特征。目前只有有限的文献来帮助描述和诊断这种疾病。我们描述了三名无手术或周围血管疾病史的IMN患者,他们在下肢远端周围神经分布中表现出自发性、持续性足部疼痛、水肿麻木和针状肌电图失神经无力。血管造影发现所有患者都存在闭塞性疾病,需要进行血管搭桥手术。

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