Neurological complications following bariatric surgery

Arquivos de Neuro-Psiquiatria

Yara Dadalti Fragoso²  Soniza Vieira Alves-leon¹  Andréa De Carvalho Anacleto¹  Joseph Bruno Bidin Brooks²  Paulo Diniz Da Gama¹  Sidney Gomes¹  Marcus Vinicius Magno Gonçalves¹  Katia Lin¹  Josiane Lopes¹  Damacio Ramon Kaimen-maciel¹  Fabiola Haschid Malfetano¹  Gladys Lentz Martins¹  Francisco Tomaz Menezes De Oliveira¹  Leonardo Dornas Oliveira¹  Rachel Schlindwein-zanini¹ 

[1] ,Universidade Metropolitana de Santos Medical School Mental Health DepartmentSantos SP ,Brazil

关键词: bariatric surgery;    demyelination;    neuropathy;    Wenicke syndrome;    cirurgia bariátrica;    desmielinização;    neuropatia;    síndrome de Wenicke;   

DOI  :  10.1590/S0004-282X2012000900010

来源: SciELO

【 摘 要 】

OBJECTIVE: It was to report on Brazilian cases of neurological complications from bariatric surgery. The literature on the subject is scarce. METHOD: Cases attended by neurologists in eight different Brazilian cities were collected and described in the present study. RESULTS: Twenty-six cases were collected in this study. Axonal polyneuropathy was the most frequent neurological complication, but cases of central demyelination, Wernicke syndrome, optical neuritis, radiculits, meralgia paresthetica and compressive neuropathies were also identified. Twenty-one patients (80%) had partial or no recovery from the neurological signs and symptoms. CONCLUSION: Bariatric surgery, a procedure that is continuously increasing in popularity, is not free of potential neurological complications that should be clearly presented to the individual undergoing this type of surgery. Although a clear cause-effect relation cannot be established for the present cases, the cumulative literature on the subject makes it important to warn the patient of the potential risks of this procedure.

【 授权许可】

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