Cerrahi ile Hızlı Düzelme Gösteren Nadir Bir Peroneal Sinir Tuzak Nöropatisi Sebebi: Obezite Cerrahisi

Yıl 2018, Cilt: 2 Sayı: 1, 43 - 47, 06.04.2018

Çağdaş Balcı Dinçay Uluç Ülkü Meral Handan İşın Özışık Karaman

Öz

Obezite Cerrahisi sonrası çeşitli nörolojik komplikasyonlar gelişebilir. Bu komplikasyonlardan biri olan düşük ayak gelişen iki olguda,
NCV/EMG incelemesinde fibula başında peroneal sinir tuzak nöropatisi saptandı. Progresif klinik seyri olan olgulara sinir dekompresyon
cerrahisi uygulandı. Her iki olgu, uygun fizyoterapi ve mikronutrient desteği ile birlikte cerrahi sonrası birinci ayda tama yakın iyileşti.
Obezite cerrahisinin uzun dönem komplikasyonları arasında mononöropati vakaları sıktır. İlerleyici vakalarda dekompresyon cerrahisi
tedavi seçenekleri arasında yer alır. Dekompresyon cerrahisi uygulanan ve başarılı sonuç elde edilen iki peroneal mononöropati olgusu,
obezite cerrahisi sonrası gelişebilecek bu komplikasyona dikkat çekmek amacıyla sunuldu.

Anahtar Kelimeler

Obezite cerrahisi, Düşük ayak, Peroneal nöropati, Sinir dekompresyon cerrahisi.

A Rare Cause of Peroneal Nerve Entrapment Neuropathy With Rapid Recovery With Surgery: Obesity Surgery

Öz

Various neurological complications may develop, after obesity surgery. Peroneal nerve entrapment neuropathy was detected in the
head of the fibula at the NCV/EMG examination in the two cases with one of these complications, footdrop. Nerve decompression
surgery was applied to cases with progressive clinical course. Both cases were treated with appropriate physiotherapy and micronutrient
supplementation in the first month after surgery. Mononeuropathy is a common long-term complication of obesity surgery.
Decompression surgery is a treatment option in progressive cases. Two peroneal mononeuropathy cases with decompression surgery
and successful results were presented to draw attention to this complication that may develop after obesity surgery

Anahtar Kelimeler

Obesity surgery, Drop foot, Peroneal neuropathy, Nevre decompression surgery

Kaynakça

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