Case Report
Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu
Abstract
Morbid obezite prevalansının artışı ile birlikte bariatrik
cerrahi prosedürlerinin sayısı her geçen gün artmakta ve nörolojik
komplikasyonlarla daha fazla karşılaşılmaktadır. Bu komplikasyonlar arasında en
iyi tanımlanmış olanlar Wernicke ensefalopatisi ve periferik nöropatilerdir.
Guillain Barre Sendromu bariatrik cerrahinin çok nadir bir komplikasyonu olarak
bildirilmiştir ve bildirilmiş vakalar çoğunlukla aksonal tiptedir. 18 yaşında
kadın hasta polikliniğimize kol ve bacaklarda ağrı ve güçsüzlük şikayeti ile
başvurdu. Üç ay önce bariatrik cerrahi operasyonu geçirdiği öğrenildi. Alt
ekstremitelerde proksimal kas gücü kaybı saptanan hastanın elektrofizyolojik
bulguları L3-S1 innerve kaslarda subakut dönem ön kök ön boynuz tutulumu ile
uyumlu bulundu. İntravenöz immunglobulin tedavisi sonrası hastada tama yakın
düzelme gözlendi. Bariatrik cerrahi sonrası gelişen nörolojik komplikasyonlarda
nutrisyonel eksikliklerin yanında enflamatuvar hasarın da göz önünde
bulundurulması gerektiği ve bu vakaların kalıcı nörolojik hasarın önlenmesi
açısından erken dönemde, multidisipliner bir şekilde takip ve tedavi edilmesi
gerektiği görüşündeyiz.
References
- 1. Karmali S, Schauer P, Birch D, Sharma AM, Sherman V. Laparoscopic sleeve gastrectomy: An innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010; 53: 126–32.
- 2. Chang CG, Helling TS, Black WE, Rymer MM. Weakness after gastric bypass. Obes Surg. 2002 Aug; 12: 592-7.
- 3. Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014; 24: 1800–7.
- 4. Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ. A controlled study of peripheral neuropathy after bariatric surgery. Neurology. 2004 Oct 26; 63: 1462-70.
- 5. Juhasz-Pocsine K, Rudnicki SA, Archer RL, Harik SI. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology 2007; 68: 1843–50.
- 6. Yasawy ZM, Hassan A. Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough. Ann Indian Acad Neurol. 2017; 20: 309-12.
- 7. Şencan R, Utku U, Gök M. Bilateral Peroneal Neuropathy after Obesity. Surgery Turk J Neurol. 2015; 21: 110-11.
- 8. Gudzune KA, Huizinga MM, Chang HY, et all. Screening and diagnosis of micronutrient deficiencies before and after bariatric surgery. Obes Surg. 2013; 23: 1581–9.
- 9. Goodman JC. Neurological Complications of Bariatric Surgery. Curr Neurol Neurosci Rep. 2015 Dec; 15:7 9.
- 10. Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014; 28: 741–9.
- 11. Aluka KJ, Turner PL, Fullum TM. Guillain-Barré syndrome and postbariatric surgery polyneuropathies. JSLS. 2009; 13: 250-3.
- 12. Degterev DA, Suponeva NA, Bodunova NA, et all. A rare complication of bariatric surgery: Polyradiculoneuropathy as a type of Guillain-Barré syndrome. Ter Arkh. 2016; 88: 79-83.
- 13. Machado FC, Valério BC, Morgulis RN, Nunes KF, Mazzali-Verst S. Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery. Arq Neuropsiquiatr. 2006 Sep; 64: 609-12.
- 14. Clark N. Neuropathy following bariatric surgery. Semin Neurol. 2010 Sep; 30: 433-5.
- 15. van den Berg B, Fokke C, Drenthen J, et all. Paraparetic Guillain-Barré syndrome. Neurology 2014; 82: 1984.
Year 2019,
Volume: 46 Issue: 1, 183 - 187, 03.03.2019
Abstract
References
- 1. Karmali S, Schauer P, Birch D, Sharma AM, Sherman V. Laparoscopic sleeve gastrectomy: An innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010; 53: 126–32.
- 2. Chang CG, Helling TS, Black WE, Rymer MM. Weakness after gastric bypass. Obes Surg. 2002 Aug; 12: 592-7.
- 3. Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014; 24: 1800–7.
- 4. Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ. A controlled study of peripheral neuropathy after bariatric surgery. Neurology. 2004 Oct 26; 63: 1462-70.
- 5. Juhasz-Pocsine K, Rudnicki SA, Archer RL, Harik SI. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology 2007; 68: 1843–50.
- 6. Yasawy ZM, Hassan A. Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough. Ann Indian Acad Neurol. 2017; 20: 309-12.
- 7. Şencan R, Utku U, Gök M. Bilateral Peroneal Neuropathy after Obesity. Surgery Turk J Neurol. 2015; 21: 110-11.
- 8. Gudzune KA, Huizinga MM, Chang HY, et all. Screening and diagnosis of micronutrient deficiencies before and after bariatric surgery. Obes Surg. 2013; 23: 1581–9.
- 9. Goodman JC. Neurological Complications of Bariatric Surgery. Curr Neurol Neurosci Rep. 2015 Dec; 15:7 9.
- 10. Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014; 28: 741–9.
- 11. Aluka KJ, Turner PL, Fullum TM. Guillain-Barré syndrome and postbariatric surgery polyneuropathies. JSLS. 2009; 13: 250-3.
- 12. Degterev DA, Suponeva NA, Bodunova NA, et all. A rare complication of bariatric surgery: Polyradiculoneuropathy as a type of Guillain-Barré syndrome. Ter Arkh. 2016; 88: 79-83.
- 13. Machado FC, Valério BC, Morgulis RN, Nunes KF, Mazzali-Verst S. Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery. Arq Neuropsiquiatr. 2006 Sep; 64: 609-12.
- 14. Clark N. Neuropathy following bariatric surgery. Semin Neurol. 2010 Sep; 30: 433-5.
- 15. van den Berg B, Fokke C, Drenthen J, et all. Paraparetic Guillain-Barré syndrome. Neurology 2014; 82: 1984.
There are 15 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 3, 2019 |
| Submission Date | October 30, 2018 |
| Published in Issue | Year 2019 Volume: 46 Issue: 1 |