Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery.
Autor(es): Machado Flavia Costa Nunes,Valério Berenice Cataldo Oliveira,Morgulis Roberto Naun Franco,Nunes Karlo Faria,Mazzali-Verst Sílvia
Resumo: Bariatric surgery is frequently indicated in the treatment of morbid obesity. Previously unreported complications have been associated to this surgery; among them, neurological complications have gained attention. We report the case of a 25-year-old man submitted to gastric surgery for treatment of morbid obesity who developed, two months after surgery, acute proximal weakness in lower limbs. The electroneuromyography revealed axonal peripheral polyneuropathy with predominant proximal involvement. After treatment with immunoglobulin and vitamin supl.ementation, rapid clinical and neurophysiologic recovery was observed. We describe the clinical and electroneuromyographic features of this case, stressing the difficulty of initial diagnosis, particularly in the differential diagnosis with Guillain-Barré syndrome. We discuss the importance of nutritional follow-up and the eventual indication of routine vitamin supl.ementation in these patients.
Imprenta: Arquivos de Neuro-Psiquiatria, v. 64, n. 3A, p. 609-612, 2006
Identificador do objeto digital: 10.1590/S0004-282X2006000400017
Descritores: Guillain-Barre Syndrome - Cell ; Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Pathogenesis ; Guillain-Barre Syndrome - Clinical examination
Data de publicação: 2006
