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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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. |
format | Online Article Text |
id | pubmed-5586130 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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