Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery
Bariatric surgery is frequently indicated in the treatment of morbid obesity. Previously unreported complications have been associated to this surgery; among them, neurological complications have gained attention. We report the case of a 25-year-old man submitted to gastric surgery for treatment of...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2006-09-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017&tlng=en |
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| author | Flavia Costa Nunes Machado Berenice Cataldo Oliveira Valério Roberto Naun Franco Morgulis Karlo Faria Nunes Sílvia Mazzali-Verst |
| author_facet | Flavia Costa Nunes Machado Berenice Cataldo Oliveira Valério Roberto Naun Franco Morgulis Karlo Faria Nunes Sílvia Mazzali-Verst |
| author_sort | Flavia Costa Nunes Machado |
| collection | DOAJ |
| description | Bariatric surgery is frequently indicated in the treatment of morbid obesity. Previously unreported complications have been associated to this surgery; among them, neurological complications have gained attention. We report the case of a 25-year-old man submitted to gastric surgery for treatment of morbid obesity who developed, two months after surgery, acute proximal weakness in lower limbs. The electroneuromyography revealed axonal peripheral polyneuropathy with predominant proximal involvement. After treatment with immunoglobulin and vitamin supplementation, rapid clinical and neurophysiologic recovery was observed. We describe the clinical and electroneuromyographic features of this case, stressing the difficulty of initial diagnosis, particularly in the differential diagnosis with Guillain-Barré syndrome. We discuss the importance of nutritional follow-up and the eventual indication of routine vitamin supplementation in these patients. |
| format | Article |
| id | doaj-art-d003cddb3406479184ee0138c99c5285 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2006-09-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-d003cddb3406479184ee0138c99c52852025-08-20T02:04:14ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272006-09-01643a60961210.1590/S0004-282X2006000400017Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgeryFlavia Costa Nunes Machado0Berenice Cataldo Oliveira Valério1Roberto Naun Franco Morgulis2Karlo Faria Nunes3Sílvia Mazzali-Verst4Hospital Israelita Albert EinsteinHospital Israelita Albert EinsteinHospital Israelita Albert EinsteinHospital Israelita Albert EinsteinHospital Israelita Albert EinsteinBariatric surgery is frequently indicated in the treatment of morbid obesity. Previously unreported complications have been associated to this surgery; among them, neurological complications have gained attention. We report the case of a 25-year-old man submitted to gastric surgery for treatment of morbid obesity who developed, two months after surgery, acute proximal weakness in lower limbs. The electroneuromyography revealed axonal peripheral polyneuropathy with predominant proximal involvement. After treatment with immunoglobulin and vitamin supplementation, rapid clinical and neurophysiologic recovery was observed. We describe the clinical and electroneuromyographic features of this case, stressing the difficulty of initial diagnosis, particularly in the differential diagnosis with Guillain-Barré syndrome. We discuss the importance of nutritional follow-up and the eventual indication of routine vitamin supplementation in these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017&tlng=enbariatric surgerypolyneuropathyneurological complicationsvitamin supplementation |
| spellingShingle | Flavia Costa Nunes Machado Berenice Cataldo Oliveira Valério Roberto Naun Franco Morgulis Karlo Faria Nunes Sílvia Mazzali-Verst Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery Arquivos de Neuro-Psiquiatria bariatric surgery polyneuropathy neurological complications vitamin supplementation |
| title | Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery |
| title_full | Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery |
| title_fullStr | Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery |
| title_full_unstemmed | Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery |
| title_short | Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery |
| title_sort | acute axonal polyneuropathy with predominant proximal involvement an uncommon neurological complication of bariatric surgery |
| topic | bariatric surgery polyneuropathy neurological complications vitamin supplementation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017&tlng=en |
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