TY  - JOUR
T1  - Bariyatrik Cerrahi Sonrası Gelişen Nörolojik Sistem Tutulumu: Olgu Sunumu
TT  - Nervous System Involvement After Bariatric Surgery: A Case Report
AU  - Çakar, Merve Melodi
AU  - Şensöz, Erdi
AU  - Baysal, Leyla
PY  - 2022
DA  - April
Y2  - 2022
DO  - 10.25048/tudod.939459
JF  - Turkish Journal of Diabetes and Obesity
JO  - Turk J Diab Obes
PB  - Zonguldak Bülent Ecevit Üniversitesi
WT  - DergiPark
SN  - 2587-0335
SP  - 91
EP  - 96
VL  - 6
IS  - 1
LA  - tr
AB  - Amaç: Nöropatiler, bariyatrik cerrahi sonrası sık karşılaşılan nörolojik problemler arasındadır. Nöropatiler, sıklıkla nütrisyoneleksikliklere sekonder aksonal polinöropati şeklinde karşımıza çıkmaktadır. Ancak inflamatuar süreçlerin de kilo kaybı ve nütrisyoneleksikliklere sekonder tetiklenebileceği, buna bağlı nöropatiler yaratabileceği bildirilmiştir. Bu yazıda bariyatrik cerrahi sonrası gelişenimmünmodülatör 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. Nütrisyoneldesteğe rağmen şikayetlerde tam düzelme sağlanamadı. Takiplerinde kas gücünde tekrardan kötüleşme gözlenmesi üzerine uygulananimmünmodülatör tedavi ile klinik remisyon elde edildi.Sonuç: Bariyatrik cerrahi sonrası nütrisyonel takviyelerinin yapılmasına rağmen nörolojik yakınmaların ısrarcı olduğu durumlardaimmün mekanizmaların tetiklediği süreçler akla gelmeli ve tedavi edilmedir.
KW  - Bariyatrik cerrahi
KW  - poliradikülonöropati
KW  - inflamasyon
KW  - vitamin eksikliği
N2  - Aim: Neuropathies are one of the common neurological problems after bariatric surgery. Neuropathies often appear as axonalpolyneuropathy secondary to nutritional deficiencies. However, inflammatory processes may also be triggered secondary to weightloss and nutritional deficiencies, resulting in neuropathies. In this article, we aimed to discuss a case with neurological involvementresponsive 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. Despitenutritional 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 byimmune mechanisms should be considered and treated.
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UR  - https://doi.org/10.25048/tudod.939459
L1  - https://dergipark.org.tr/tr/download/article-file/1776515
ER  -