减重手术后的神经系统并发症。
Neurological complications following bariatric surgery.
作者信息
Fragoso Yara Dadalti, Alves-Leon Soniza Vieira, Anacleto Andréa de Carvalho, Brooks Joseph Bruno Bidin, Gama Paulo Diniz da, Gomes Sidney, Gonçalves Marcus Vinicius Magno, Lin Katia, Lopes Josiane, Kaimen-Maciel Damacio Ramon, Malfetano Fabiola Haschid, Martins Gladys Lentz, Oliveira Francisco Tomaz Menezes de, Oliveira Leonardo Dornas, Schlindwein-Zanini Rachel
机构信息
Neurology Service, Mental Health Department, Medical School of Universidade Metropolitana de Santos (UNIMES), Santos SP, Brazil.
出版信息
Arq Neuropsiquiatr. 2012 Sep;70(9):700-3. doi: 10.1590/s0004-282x2012000900010.
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.
目的
报告巴西减重手术导致神经并发症的病例。关于该主题的文献稀缺。
方法
本研究收集并描述了巴西八个不同城市神经科医生接诊的病例。
结果
本研究收集了26例病例。轴索性多发性神经病是最常见的神经并发症，但也发现了中枢性脱髓鞘、韦尼克综合征、视神经炎、神经根炎、感觉异常性股痛和压迫性神经病的病例。21名患者（80%）的神经体征和症状部分或完全未恢复。
结论
减重手术的受欢迎程度不断上升，该手术并非没有潜在的神经并发症，应向接受此类手术的个体明确说明。尽管目前的病例无法确定明确的因果关系，但关于该主题的累积文献表明，有必要警告患者该手术的潜在风险。
Zotero 插件