Ischemic Neuropathy Possibly as a Complication of Extracorporeal Membrane Oxygenation Management: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Ischemic neuropathy can result from either vessel occlusion or reduced oxygen content in the blood. We report a case of distal ischemic mononeuropathies involving multiple limbs that have developed after the use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA ECMO). A 37-year old female with suspected acute myocarditis and postpartum cardiomyopathy has developed weakness and tingling sense in all the distal extremities after VA ECMO. Electrodiagnostic study was performed 4 weeks after the onset of the symptoms and the findings suggested multiple mononeuropathies in all four limbs, especially in the distal components. Ischemic neuropathy in multiple limbs can develop as a consequence of generalized limb ischemia, although it is frequently overlooked.
Abstract
Ischemic neuropathy can result from either vessel occlusion or reduced oxygen content in the blood. We report a case of distal ischemic mononeuropathies involving multiple limbs that have developed after the use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA ECMO). A 37-year old female with suspected acute myocarditis and postpartum cardiomyopathy has developed weakness and tingling sense in all the distal extremities after VA ECMO. Electrodiagnostic study was performed 4 weeks after the onset of the symptoms and the findings suggested multiple mononeuropathies in all four limbs, especially in the distal components. Ischemic neuropathy in multiple limbs can develop as a consequence of generalized limb ischemia, although it is frequently overlooked.
참고문헌 (9)
- Wilbourn AJ, "Ischemic monomelic neuropathy", Neurology, 33, pp.447~451 (1983)[DOI]
- Lafc G, "Use of extracorporeal membrane oxygenation in adults", Heart Lung Circ, 23, pp.10~23 (2014)[DOI]
- Ko WJ, "Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shock", Ann Thorac Surg, 73, pp.538~545 (2002)[DOI]
- Smedira NG, "Clinical experience with 202 adults receiving extracorporeal membrane oxygenation for cardiac failure: survival at five years", J Thorac Cardiovasc Surg, 122, pp.92~102 (2001)[DOI]
- Gander JW, "Limb ischemia after common femoral artery cannulation for venoarterial extracorporeal membrane oxygenation: an unresolved problem", J Pediatr Surg, 45, pp.2136~2140 (2010)[DOI]
- Slottosch I, "Outcomes after peripheral extracorporeal membrane oxygenation therapy for postcardiotomy cardiogenic shock: a single-center experience", J Surg Res, 181, pp.47~55 (2013)[DOI]
- Levin KH, "AAEE case report #19: ischemic monomelic neuropathy", Muscle Nerve, 12, pp.791~795 (1989)[DOI]
- Latronico N, "Critical illness polyneuropathy and myopathy: a major cause of muscle weakness and paralysis", Lancet Neurol, 10, pp.931~941 (2011)[DOI]
- Kramer CL, "Compound muscle action potential duration in critical illness neuromyopathy", Muscle Nerve, 57, pp.395~400 (2018)[DOI]
