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Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough

Neurological complications are frequently recognized with weight reduction surgeries for morbid obesity. The spectrum of peripheral neuropathies complicating the weight loss surgery is wide, and among them, the acute axonal peripheral neuropathy resembling Guillain-Barre syndrome is rare and only le...

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Autores principales: Yasawy, Zakia Mohammad, Hassan, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586130/
https://www.ncbi.nlm.nih.gov/pubmed/28904467
http://dx.doi.org/10.4103/aian.AIAN_24_17
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author Yasawy, Zakia Mohammad
Hassan, Ali
author_facet Yasawy, Zakia Mohammad
Hassan, Ali
author_sort Yasawy, Zakia Mohammad
collection PubMed
description Neurological complications are frequently recognized with weight reduction surgeries for morbid obesity. The spectrum of peripheral neuropathies complicating the weight loss surgery is wide, and among them, the acute axonal peripheral neuropathy resembling Guillain-Barre syndrome is rare and only less than a dozen cases are reported. We present three cases, which after bariatric surgery developed acute polyneuropathy that rapidly progressed over 4 weeks from the onset. All patients responded to aggressive parenteral Vitamin B1 and B12 replacement therapy. These cases highlight the fact that bariatric surgery although is a promising option to treat morbid obesity; it is certainly not devoid of potential neurological complications due to micronutrient deficiencies. Delay in the diagnosis of acute polyneuropathy may worsen its long-term sequelae. A multidisciplinary team management with careful nutritional monitoring at regular interval is crucial in all patients for early recognition and intervention to avoid these complications after bariatric surgery.
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spelling pubmed-55861302017-09-13 Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough Yasawy, Zakia Mohammad Hassan, Ali Ann Indian Acad Neurol Case Report Neurological complications are frequently recognized with weight reduction surgeries for morbid obesity. The spectrum of peripheral neuropathies complicating the weight loss surgery is wide, and among them, the acute axonal peripheral neuropathy resembling Guillain-Barre syndrome is rare and only less than a dozen cases are reported. We present three cases, which after bariatric surgery developed acute polyneuropathy that rapidly progressed over 4 weeks from the onset. All patients responded to aggressive parenteral Vitamin B1 and B12 replacement therapy. These cases highlight the fact that bariatric surgery although is a promising option to treat morbid obesity; it is certainly not devoid of potential neurological complications due to micronutrient deficiencies. Delay in the diagnosis of acute polyneuropathy may worsen its long-term sequelae. A multidisciplinary team management with careful nutritional monitoring at regular interval is crucial in all patients for early recognition and intervention to avoid these complications after bariatric surgery. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5586130/ /pubmed/28904467 http://dx.doi.org/10.4103/aian.AIAN_24_17 Text en Copyright: © 2006 - 2017 Annals of Indian Academy of Neurology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Yasawy, Zakia Mohammad
Hassan, Ali
Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title_full Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title_fullStr Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title_full_unstemmed Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title_short Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough
title_sort post bariatric surgery acute axonal polyneuropathy: doing your best is not always enough
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586130/
https://www.ncbi.nlm.nih.gov/pubmed/28904467
http://dx.doi.org/10.4103/aian.AIAN_24_17
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