Progressive unilateral leg weakness after lumbar decompression due to ischemic monomelic neuropathy misdiagnosed as epidural hematoma: A CARE-compliant case report.

Author: ChangMin Cheol, LeeGun Woo, ParkWook-Tae

Paper Details 
Original Abstract of the Article :
Ischemic monomelic neuropathy (IMN) is a disease that occurs after acute arterial occlusion or steal phenomenon in an extremity that results in single or multiple axonal mononeuropathies in the distal limb without the classical features of limb ischemia, including a skin color change, limb swelling,...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174360/

データ提供:米国国立医学図書館(NLM)

Ischemic Monomelic Neuropathy: A Hidden Oasis in the Desert of Neurological Diagnosis

Ischemic monomelic neuropathy (IMN) is a rare and often misdiagnosed condition that can cause significant neurological deficits. This study presents a case report of a patient who experienced progressive unilateral leg weakness after lumbar decompression, highlighting the challenges of diagnosing IMN and emphasizing the importance of considering this condition in the differential diagnosis of neurological disorders. The researchers underscore the need for a comprehensive and nuanced approach to evaluating neurological symptoms, particularly when they occur after surgical interventions.

Ischemic Monomelic Neuropathy: A Difficult Diagnosis

The study highlights the challenges associated with diagnosing IMN, emphasizing the need for a high index of suspicion in patients presenting with unexplained neurological deficits, especially after surgery. The case report emphasizes the importance of considering all possible diagnoses and employing a thorough evaluation to ensure accurate diagnosis and appropriate treatment. The researchers highlight the importance of raising awareness among healthcare professionals about this often-overlooked condition.

Navigating the Desert of Neurological Diagnosis

This case report serves as a reminder that the desert of neurological diagnosis can be a complex and challenging landscape. The study underscores the importance of carefully considering all possible diagnoses, including rare and often overlooked conditions like IMN, to ensure accurate diagnosis and appropriate treatment. The researchers' call for increased awareness and a thorough evaluation of neurological symptoms is crucial for providing optimal patient care and preventing misdiagnosis.

Dr.Camel's Conclusion

This case report serves as a reminder that the desert of neurological diagnosis is vast and full of hidden oases. The researchers highlight the importance of considering all possible diagnoses, including rare and often overlooked conditions like IMN, to ensure accurate diagnosis and appropriate treatment. By approaching neurological evaluation with a comprehensive and nuanced perspective, we can better navigate this complex landscape and provide optimal care for our patients.

Date :
  1. Date Completed 2023-05-15
  2. Date Revised 2023-05-15
Further Info :

Pubmed ID

37171341

DOI: Digital Object Identifier

PMC10174360

SNS
PICO Info
in preparation
Languages

English

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