Ischemic Monomelic Neuropathy and Myopathy as a Complication of Peripheral Arterial Occlusive Disease

폐색성말초혈관질환의 합병증으로 발생한 허혈성단일신경병증과 허혈성근병증

  • Shin, Kyong Jin (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Sung Eun (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Jinse (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Ha, Sam Yeol (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Kang Min (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine)
  • 신경진 (인제대학교 의과대학 해운대백병원 신경과) ;
  • 김성은 (인제대학교 의과대학 해운대백병원 신경과) ;
  • 박진세 (인제대학교 의과대학 해운대백병원 신경과) ;
  • 하삼열 (인제대학교 의과대학 해운대백병원 신경과) ;
  • 박강민 (인제대학교 의과대학 해운대백병원 신경과)
  • Received : 2012.07.17
  • Accepted : 2012.09.20
  • Published : 2012.12.30

Abstract

Ischemic monomelic neuropathy and myopathy are rare complications of peripheral arterial occlusive disease. We report a case of ischemic monomelic neuropathy of the right sural, common peroneal and posterior tibial nerves and ischemic myopathy of the right tibialis anterior resulting from the occlusion of the right common femoral arteries despite successful revascularization. Ischemic monomelic neuropathy and myopathy can occur as a result of occlusion of the specific peripheral artery.

Keywords

References

  1. Wilbourn AJ, Furlan AJ, Hulley W, Rschhaupt W. Ischaemic monomelic neuropathy. Neurology 1983;33:447-451. https://doi.org/10.1212/WNL.33.4.447
  2. Weinberg DH, Simovic D, Isner J, Ropper AH. Chronic ischemic monomelic neuropathy from critical limb ischemia. Neurology 2001;57:1008-1012. https://doi.org/10.1212/WNL.57.6.1008
  3. Weber F, Ziegler A. Axonal neuropathy in chronic peripheral arterial occlusive disease. Muscle Nerve 2002;26:471-476. https://doi.org/10.1002/mus.10235
  4. Korthals JK, Wisniewski HM. Peripheral nerve ischemia. Part 1 Experimental model. J Neurol Sci 1975;24:65-76. https://doi.org/10.1016/0022-510X(75)90009-X
  5. Lang PM, Schober GM, Rolke R, Wagner S, Hilge R, Offenbächer M, et al. Sensory neuropathy and signs of central sensitization in patients with peripheral artery disease. Pain 2006;124:190-200. https://doi.org/10.1016/j.pain.2006.04.011
  6. Hunter CG, Song GW, Nayak NN, Zapotowski D, Guernsey JM. Peripheral nerve conduction abnormalities in lower extremity ischemia. J Surg Res 1988;45:96-103. https://doi.org/10.1016/0022-4804(88)90027-3
  7. Nukada H, van Rij AM, Packer SG, McMorran PD. Pathology of acute and chronic ischaemic neuropathy in atherosclerotic vascular disease. Brain 1966;119:1449-1460.
  8. Farinon AM, Marbini A, Gemignani F, Govoni E, Bragaglia MM, Sianesi M, et al. Skeletal muscle and peripheral nerve changes caused by chronic arterial insufficiency-significance and clinical correlations-histological, biochemical and ultrastructural study. Clin Neuropathol 1984;3:240-252.
  9. Korthals JK, Maki T, Gieron MA. Nerve and muscle vulnerability to ischemia. J Neurol Sci 1985;71:283-290. https://doi.org/10.1016/0022-510X(85)90066-8
  10. Regensteiner JG, Wolfel EE, Brass EP, Carry MR, Ringel SP, Hargarten ME, et al. Chronic changes in skeletal muscle histology and function in peripheral arterial disease. Circulation 1993;87:413-421. https://doi.org/10.1161/01.CIR.87.2.413