Ischemic Neuropathy Possibly as a Complication of Extracorporeal Membrane Oxygenation Management: A Case Report

doi:2018.20.1.42

J Electrodiagn Neuromuscul Dis > Volume 20(1); 2018 > Article

Case Report

J Korean Assoc EMG Electrodiagn Med 2018;20(1):42-47.
DOI: https://doi.org/10.18214/jkaem.2018.20.1.42 Published online June 30, 2018.

Ischemic Neuropathy Possibly as a Complication of Extracorporeal Membrane Oxygenation Management: A Case Report

Received: 5 January 2018 • Revised: 25 May 2018 • Accepted: 29 May 2018

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.

Key Words: ischemic neuropathy, limb ischemia, extracorporeal membrane oxygenation