Milants C, Lempereur S, Dubuisson A
Université de Liège, Liège, Belgique.
Neurochirurgie. 2013 Feb;59(1):50-2. doi: 10.1016/j.neuchi.2012.09.004. Epub 2012 Nov 10.
We report the case of bilateral peroneal neuropathy following massive weight loss after bariatric surgery. A few months after a gastric by-pass, the patient developed sequentially within 6 months a L2-L3 herniated disc that required surgery, a severe right peroneal nerve palsy that led to decompressive surgery and finally contralateral peroneal nerve palsy also operated. The electrophysiological analysis confirmed the clinical suspicion of peroneal nerve compression at the fibular head. Postoperative course was favorable. Literature reports peroneal nerve palsy after slimming, mostly when weight loss is fast and marked although the issue is rarely bilateral.
我们报告了一例减肥手术后因体重大幅下降导致双侧腓总神经病变的病例。胃旁路手术后几个月,患者在6个月内先后出现L2-L3椎间盘突出症并接受手术、严重的右侧腓总神经麻痹并接受减压手术,最终对侧腓总神经麻痹也接受了手术。电生理分析证实了临床对腓骨头处腓总神经受压的怀疑。术后恢复情况良好。文献报道减肥后会出现腓总神经麻痹,大多是在体重快速且显著下降时,不过双侧受累的情况很少见。