Nerve Conduction Abnormalities in the Arms of Patients with Arteriovenous Fistula
作者:
KleinC.,
HalevyA.,
GandelmanR.,
HalpernZ.,
WeissgartenJ.,
AverbukhZ.,
ArlazoroffA.,
期刊:
Renal Failure
(Taylor Available online 1996)
卷期:
Volume 18,
issue 1
页码: 85-89
ISSN:0886-022X
年代: 1996
DOI:10.3109/08860229609052777
出版商: Taylor&Francis
数据来源: Taylor
摘要:
Fifteen patients with unilateral functioning arteriovenous fistula were assessed clinically and electromyographically to identify local neurologic changes. Ten of the patients were symptomatic (motor and/or sensory) and 5 were asymptomatic. Clinically, 11 patients had signs of a mild polyneuropathy, 2 patients of ulnar neuropathy, and 1 patient had signs of median neuropathy. A decrease of the above-elbow ulnar conduction velocity was noted in the study group on the side of the functional fistula, and in the symptomatic patients only on the side of the nonfunctional/nonexisting fistula. We suggest that ulnar nerve vulnerability should be taken into consideration during construction of the fistula, as well as during dialysis.
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