Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery

Detalhes bibliográficos
Autor(a) principal: Machado,Flavia Costa Nunes
Data de Publicação: 2006
Outros Autores: Valério,Berenice Cataldo Oliveira, Morgulis,Roberto Naun Franco, Nunes,Karlo Faria, Mazzali-Verst,Sílvia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017
Resumo: 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.
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spelling Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgerybariatric surgerypolyneuropathyneurological complicationsvitamin supplementationBariatric 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.Academia Brasileira de Neurologia - ABNEURO2006-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017Arquivos de Neuro-Psiquiatria v.64 n.3a 2006reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2006000400017info:eu-repo/semantics/openAccessMachado,Flavia Costa NunesValério,Berenice Cataldo OliveiraMorgulis,Roberto Naun FrancoNunes,Karlo FariaMazzali-Verst,Sílviaeng2006-09-28T00:00:00Zoai:scielo:S0004-282X2006000400017Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2006-09-28T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery
title Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery
spellingShingle Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery
Machado,Flavia Costa Nunes
bariatric surgery
polyneuropathy
neurological complications
vitamin supplementation
title_short 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_sort Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery
author Machado,Flavia Costa Nunes
author_facet Machado,Flavia Costa Nunes
Valério,Berenice Cataldo Oliveira
Morgulis,Roberto Naun Franco
Nunes,Karlo Faria
Mazzali-Verst,Sílvia
author_role author
author2 Valério,Berenice Cataldo Oliveira
Morgulis,Roberto Naun Franco
Nunes,Karlo Faria
Mazzali-Verst,Sílvia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Machado,Flavia Costa Nunes
Valério,Berenice Cataldo Oliveira
Morgulis,Roberto Naun Franco
Nunes,Karlo Faria
Mazzali-Verst,Sílvia
dc.subject.por.fl_str_mv bariatric surgery
polyneuropathy
neurological complications
vitamin supplementation
topic bariatric surgery
polyneuropathy
neurological complications
vitamin supplementation
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.
publishDate 2006
dc.date.none.fl_str_mv 2006-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000400017
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2006000400017
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.64 n.3a 2006
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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