• H Bihan, J P Lefaucheur, and A Créange.
• Service de Neurologie, Service de Physiologie-Explorations fonctionnelles, CHU Henri Mondor, Créteil.
• Presse Med. 2001 May 26; 30 (19): 966968966-8.

BackgroundIschemic neuropathy is an uncommon and poorly-understood condition affecting the peripheral nervous system. Most cases involve the upper limbs and occur after vascular surgery.Case ReportA 42-year-old man developed a multiple mononeuropathy of the lower right limb. The painful, axonal and predominantly sensory neuropathy was caused by ischemia and occurred subsequent to surgery for dissection of the aorta extended to the aortoiliac bifurcation. There was no sign of muscle or skin ischemia. The clinical course was slow and characterised by an incomplete recovery.DiscussionIschemic neuropathy of the lower limbs is generally observed after aortoiliac surgery. Occurrence after aortic dissection is exceptional. Most cases show a distal localization and are painful with little motor deficit. They must not be confused with global ischemia of the lower limb or radiculopathy. Early revascularisation is crucial for complete recovery.

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