Nervous System Involvement After Bariatric Surgery: A Case Report

Year 2022, Volume: 6 Issue: 1, 91 - 96, 30.04.2022

Merve Melodi Çakar , Erdi Şensöz Leyla Baysal

https://doi.org/10.25048/tudod.939459

Abstract

Aim: Neuropathies are one of the common neurological problems after bariatric surgery. Neuropathies often appear as axonal
polyneuropathy secondary to nutritional deficiencies. However, inflammatory processes may also be triggered secondary to weight
loss and nutritional deficiencies, resulting in neuropathies. In this article, we aimed to discuss a case with neurological involvement
responsive to immunomodulatory treatment after bariatric surgery.
Case: A 27-year-old female patient presented with nystagmus, ataxia and paraparesis, 1.5 months after bariatric surgery. Despite
nutritional support, recovery was not observed. Clinical remission was achieved after immunomodulatory treatment.
Result: In patients where neurological complaints persist despite nutritional supplements after bariatric surgery, processes triggered by
immune mechanisms should be considered and treated.

Keywords

Bariatric surgery, Polyradiculoneuropathy, Inflammation, Vitamin deficiency

Bariyatrik Cerrahi Sonrası Gelişen Nörolojik Sistem Tutulumu: Olgu Sunumu

Abstract

Amaç: Nöropatiler, bariyatrik cerrahi sonrası sık karşılaşılan nörolojik problemler arasındadır. Nöropatiler, sıklıkla nütrisyonel
eksikliklere sekonder aksonal polinöropati şeklinde karşımıza çıkmaktadır. Ancak inflamatuar süreçlerin de kilo kaybı ve nütrisyonel
eksikliklere sekonder tetiklenebileceği, buna bağlı nöropatiler yaratabileceği bildirilmiştir. Bu yazıda bariyatrik cerrahi sonrası gelişen
immünmodülatör tedaviye yanıtlı nörolojik tutulumu olan olguyu sunmayı amaçladık.
Olgu: Yirmi yedi yaşında kadın hasta bariyatrik cerrahiden 1,5 ay sonra nistagmus, ataksi ve paraparezi kliniği ile başvurdu. Nütrisyonel
desteğe rağmen şikayetlerde tam düzelme sağlanamadı. Takiplerinde kas gücünde tekrardan kötüleşme gözlenmesi üzerine uygulanan
immünmodülatör tedavi ile klinik remisyon elde edildi.
Sonuç: Bariyatrik cerrahi sonrası nütrisyonel takviyelerinin yapılmasına rağmen nörolojik yakınmaların ısrarcı olduğu durumlarda
immün mekanizmaların tetiklediği süreçler akla gelmeli ve tedavi edilmedir.

Keywords

Bariyatrik cerrahi, poliradikülonöropati, inflamasyon, vitamin eksikliği

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