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KMID : 0860920180200010042
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2018 Volume.20 No. 1 p.42 ~ p.47
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Ischemic Neuropathy Possibly as a Complication of Extracorporeal Membrane Oxygenation Management: A Case Report
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Meng Won-Jun
Lee Ah-Ry
Moon Hyun-Im
Kwon Hee-Kyu
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Abstract
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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.
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KEYWORD
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ischemic neuropathy, limb ischemia, extracorporeal membrane oxygenation
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