Peripheral Nerve Complications After Bariatric Surgery

Demiryürek, Bekir Enes; Karaman, Kerem; Bal, Ali

doi:10.4274/tnd.37108

Cited by 2 publications

(2 citation statements)

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“…The neuropathy that typically develops with thiamine deficiency affects the lower limbs and can variably affect the sensory and motor nerves. The results of our patient's electrodiagnostic testing were very similar to those presented elsewhere in the context of thiamine deficiency, namely a peripheral polyneuropathy that is length-dependent and axonal with markedly reduced amplitudes of both compound motor action potential and sensory nerve action potentials [7,9]. Additionally, thiamine deficiency has shown characteristic central nervous findings on MRI, specifically hyperintense signal abnormalities on FLAIR or T2-weighted images in the dorsomedial thalamic nuclei, periaqueductal gray matter, mammillary bodies, and cervical spine [7].…”

Section: Discussionsupporting

confidence: 82%

“…Many patients who develop nutritional deficiencies and subsequent neurological deficits have had a history of repeated vomiting and poor oral intake, which can exacerbate these deficiencies [ 8 ]. Rapid and significant weight loss has also been associated with neurological complications [ 9 ]. In our patient, the primary deficiencies that were identified were vitamin B1 and copper.…”

Section: Discussionmentioning

confidence: 99%

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Cervical Myelopathy and Peripheral Polyneuropathy in a 26-Year-Old Female Following Bariatric Surgery

Jindal¹,

Donohue²,

White³

2021

Cureus

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The frequency, clinical course, and prognosis of the neurological sequelae following bariatric surgery remain obscure and continue to be a subject of medical research. We present the case of a 26-year-old female who underwent sleeve gastrectomy for the treatment of obesity and demonstrated progressive neurological deficits within months of her procedure. Extensive testing revealed very low thiamine and copper levels, peripheral polyneuropathy, and spinal cord lesions on imaging. She was treated with intravenous copper and thiamine and was admitted to the rehabilitation unit. Eighteen months following her admission, she achieved complete recovery.Previous studies have reported neurological complications following bariatric surgery in 1.1-8.6% of cases. Some of the most common nutritional deficiencies involve copper, iron, calcium, magnesium, and vitamins B1, B12, D, and E. Patients may experience central and peripheral neurological deficits following bariatric surgery. Fortunately, a path to recovery exists and it involves both pharmacological and rehabilitative treatment.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%