Nervous System Involvement After Bariatric Surgery: A Case Report

Öz

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.

Anahtar Kelimeler

• Bariatric surgery
• Polyradiculoneuropathy
• Inflammation
• Vitamin deficiency

Bariyatrik Cerrahi Sonrası Gelişen Nörolojik Sistem Tutulumu: Olgu Sunumu

Öz

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.

Anahtar Kelimeler

• Bariyatrik cerrahi
• poliradikülonöropati
• inflamasyon
• vitamin eksikliği

Kaynakça

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