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Persistent Paraplegia After Sleeve Gastrectomy: A Case Report Publisher



Khalooeifard R1 ; Pazouki A2, 3 ; Khalaj A4 ; Mokhber S2 ; Farsani GM2, 5
Authors
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Authors Affiliations
  1. 1. Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Center of Excellence of International Federation for Surgery of Obesity, Hazrate Rasool Hospital, Tehran, Iran
  4. 4. Tehran Obesity Treatment Center, Department of Surgery, Faculty of Medicine, Shahed University, Tehran, Iran
  5. 5. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Ghods St, Tehran, Iran

Source: Indian Journal of Surgery Published:2021


Abstract

Neurological complications secondary to weight loss surgery (WLS) are highly reported and include peripheral nerve injury, Wernicke’s encephalopathy, polyradiculoneuropathy, neuropathy, myelopathy, peripheral neuropathy, and myopathy. Neurological complications may result from mechanical or inflammatory mechanisms, but they result mainly from deficiencies in B vitamins, vitamin D, vitamin E, zinc, and copper occurring in WLS. Herein is reported the case of a 25-year-old woman with complaints of paraplegia after a sleeve gastrectomy probably due to nutritional deficiencies. This case illustrates the necessity for medical nutrition therapy (MNT) before and after bariatric surgery. © 2020, Association of Surgeons of India.