Neuropathy in the Hemodialysis Population: A Review of Neurophysiology Referrals in a Tertiary Center

Abstract

This was a retrospective observational study of neurophysiology referrals over 8 years from a tertiary referral center in Ireland. A total of 68 of the 73 referrals yielded one or more abnormalities. Thirty-nine (53%) patients had one or more mononeuropathies; iatrogenic mononeuropathies believed to be associated with arterio-venous fistula creation occurred in 15 patients. Polyneuropathy was identified in 43 patients (59%). Access to an experienced neurophysiology department offers valuable insight into dialysis-associated neuropathies, especially when associated with arterio-venous fistulae.

• arterio-venous fistula
• hemodialysis
• mononeuropathy
• neuropathy
• ischemic monomelic mononeuropathy