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Neurologic Complications of Gastric Bypass Surgery for Morbid Obesity
Neurol 68:1843-1850, Juhasz-Pocsine,K.,et al, 2007
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Article Abstract
The neurologic complications affected most regions of the nervous system: encephalopathy, optic neuropathy, myelopathy, polyradiculoneuropathy, and polyneuropathy. Myelopathy was the most frequent and disabling problem; symptoms began about a decade after surgery. Encephalopathy and polyradiculoneuropathy were acute and early complications. Except for vitamin B12 and copper deficiencies in patients with myelopathy, we could not correlate specific nutritional deficiencies to the neurologic complications. All patients had multiple nutritional deficiencies, but their correction did not often yield dramatic results. The best result was achieved in one patient after surgical revision to reduce the bypassed jejunum. A wide spectrum of serious neurologic conditions may follow bariatric surgery. These complications may occur acutely or decades later.
 
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B 12 deficiency
cerebrospinal fluid,oligoclonal IgG in
copper deficiency
corpus callosum
corpus callosum,lesion of
disability,neurological
encephalopathy
gastric partitioning
iatrogenic neurologic disorders
MRI
MRI,abnormal
MRI,spinal cord
MRI,spinal cord,increased intramedullary cord signal
myelopathy
myopathy
neurologic complications of,surgery
neuropathy
nutritional deficiency
obesity
optic neuropathy
optic neuropathy,nutritional
polyneuropathy
polyradiculoneuropathy
posterior column disease
spinal cord,cervical
treatment of neurologic disorder
vitamin deficiency
weight loss
white matter disease

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