Jindal Akash, Donohue Nicholas K, White Christopher
Physical Medicine and Rehabilitation, Medical College of Wisconsin, Wauwatosa, USA.
Cureus. 2021 Jun 19;13(6):e15759. doi: 10.7759/cureus.15759. eCollection 2021 Jun.
The frequency, clinical course, and prognosis of the neurological sequelae following bariatric surgery remain obscure and continue to be a subject of medical research. We present the case of a 26-year-old female who underwent sleeve gastrectomy for the treatment of obesity and demonstrated progressive neurological deficits within months of her procedure. Extensive testing revealed very low thiamine and copper levels, peripheral polyneuropathy, and spinal cord lesions on imaging. She was treated with intravenous copper and thiamine and was admitted to the rehabilitation unit. Eighteen months following her admission, she achieved complete recovery. Previous studies have reported neurological complications following bariatric surgery in 1.1-8.6% of cases. Some of the most common nutritional deficiencies involve copper, iron, calcium, magnesium, and vitamins B1, B12, D, and E. Patients may experience central and peripheral neurological deficits following bariatric surgery. Fortunately, a path to recovery exists and it involves both pharmacological and rehabilitative treatment.
减肥手术后神经后遗症的发生率、临床病程及预后仍不明确，仍是医学研究的课题。我们报告一例26岁女性，她接受了袖状胃切除术治疗肥胖症，术后数月出现进行性神经功能缺损。广泛检查显示硫胺素和铜水平极低，周围性多发性神经病，影像学检查发现脊髓病变。她接受了静脉注射铜和硫胺素治疗，并被收入康复科。入院18个月后，她完全康复。先前的研究报告称，减肥手术后神经并发症的发生率为1.1%-8.6%。一些最常见的营养缺乏包括铜、铁、钙、镁以及维生素B1、B12、D和E。减肥手术后患者可能会出现中枢和周围神经功能缺损。幸运的是，存在康复途径，包括药物治疗和康复治疗。
