Year 2019, Volume 5 , Issue 6, Pages 1024 - 1027 2019-11-04

A new etiology for variant of Guillain-Barré syndrome: bariatric surgery

Şevki Şahin [1] , Miruna Florentina Ateş [2] , Nilgün Çınar [3] , Sibel Karşıdağ [4]


Bariatric surgery is an effective treatment for obesity. However, the number of acute or chronic neurological complications after bariatric surgery, including Guillain-Barré syndrome, is increasingly reported. We present here two cases which developed acute motor sensory polyneuropathy a couple months after bariatric surgery which rapidly progressed over the following month. Both patients used received parenteral vitamin B complex replacement after surgery. The first case responded well to intravenous immunoglobulin (IVIg) treatment. However, the second case required plasmapheresis and physical rehabilitation for recovery after IVIg treatment. It is thought that minerals, vitamins, and trace element deficiencies can develop after bariatric surgery. These deficiencies may trigger inflammatory and autoimmune mechanisms and cause acute polyneuropathies. In such cases, it should be kept in mind that immune therapies may be beneficial, as well as vitamins. 

Bariatric, complication, neuropathy, malnutrition, Guillain-Barré syndrome
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Primary Language en
Subjects Endocrinology and Metabolism, Surgery, Neurosciences
Journal Section Case Reports
Authors

Orcid: 0000-0003-2016-9965
Author: Şevki Şahin
Institution: Department of Neurology, Maltepe University School of Medicine, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0001-5953-4240
Author: Miruna Florentina Ateş (Primary Author)
Institution: Department of Neurology, Maltepe University School of Medicine, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0003-3868-3137
Author: Nilgün Çınar
Institution: Department of Neurology, Maltepe University School of Medicine, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0002-2887-9235
Author: Sibel Karşıdağ
Institution: Department of Neurology, Maltepe University School of Medicine, İstanbul, Turkey
Country: Turkey


Dates

Publication Date : November 4, 2019

EndNote %0 The European Research Journal A new etiology for variant of Guillain-Barré syndrome: bariatric surgery %A Şevki Şahin , Miruna Florentina Ateş , Nilgün Çınar , Sibel Karşıdağ %T A new etiology for variant of Guillain-Barré syndrome: bariatric surgery %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 6 %R doi: 10.18621/eurj.461760 %U 10.18621/eurj.461760