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CASE REPORT
Year : 2011  |  Volume : 18  |  Issue : 3  |  Page : 162-164

Peripheral polyneuropathy after bariatric surgery for morbid obesity


1 Department of Family Medicine, Changhua Christian Hospital, Changhua; Department of Healthcare Administration, Asia University, Taiwan
2 Department of Family Medicine, Changhua Christian Hospital, Changhua, Taiwan

Correspondence Address:
Ying Li Lin
Department of Family Medicine, Changhua Christian Hospital, Changhua City 500
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8229.90020

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A patient with peripheral polyneuropathy after bariatric surgery for morbid obesity is reported. She suffered from frequent episodes of vomiting and abdominal pain after surgery. Muscle weakness in her lower limbs developed 5 months later and she experienced difficulty in walking and standing. Wrist drop, foot drop, and marked distal limb muscle atrophy were found bilaterally. Electromyography showed the presence of sensorimotor axonal polyneuropathy. Nutritional deficiencies may play an important role in pathogenesis. This uncommon neurological complication might be due to rapid weight loss and vitamin deficiency. Physicians who take care for patients after bariatric surgery should have a high index of awareness for the neurologic complications, and routine vitamin supplementation might be useful for these patients.


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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010