Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation

ALPTEKİN, Kerem; SÜLEYMAN, Türker; DIRAÇOĞLU, Demirhan

Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation

Kerem ALPTEKİN, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Türker SÜLEYMAN, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Demirhan DIRAÇOĞLU (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

7 1

Yıl: 2012 Cilt: 58 Sayı: 2 Sayfa Aralığı: 151 - 153 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation

Öz:

Bariatrik cerrahilerin daha sık uygulanması sonucunda bu prosedürün yan etkilerine daha çok rastlanılmaktadır. Hastamızda talihsiz bir şekilde bariatrik cerrahiden 3 ay sonra pulmoner emboli gelişmiş ve bu klinik tablo proksimal alt ektstremitede güçsüzlük ve hissizlik ile ağırlaşmıştır. Yapılan elektromyografik inceleme sonucunda aksonal dejenerasyonun hakim olduğu asimetrik polinöropati tanısı konmuş, duysal uyandırılmış potansiyallerde tibial periferik ve kortikal cevaplar alınamamıştır. İncelemeler sonucunda 25 OH Vitamin D eksikliği dışında bir vitamin ya da mineral eksikliği saptanmazken, hastanın operasyon sonrası 3 ay içerisinde 70 kg kaybetmesi bizi nütrisyonel polinöropati tanısına yönlendirmiştir. Diğer yandan hastamızın nöropatik karakterdeki ağrısı pregabaline iyi yanıt vermiş ve kas güçlendirme eğitimi sonrasında hastamız mobilitede bağımsızlığa kavuşmuştur.

Anahtar Kelime:

Konular: Rehabilitasyon

Bariatrik cerrahi sonrası gelişen nütrisyonel polinöropati: Alışılmış bir klinikle ortaya çıkan nadir bir olgu

Öz:

With rising frequency of bariatric surgery, the common adverse effects of that procedure is more frequently encountered. Our patient unluckily developed pulmonary embolism after 3 months of bariatric surgery and that clinic picture was aggravated with proximal lower extremity weakness and numbness. Electromyography performed on admission revealed asymmetric polyradiculopathy with axonal degeneration, whereas somatosensory evoked potentials showed no tibial peripheric and cortical responses. Although we found no sign of malabsorption (except 25 OH vitamin D deficiency), the history of weight loss of 70 kg within 3 months after the surgery led us to the diagnosis of nutritional polyneuropathy. On the other hand, neuropathic pain in our patient responded well to pregabalin and, after strengthening of muscles via rehabilitation, the patient gained independent mobility again.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	ALPTEKİN K, SÜLEYMAN T, DIRAÇOĞLU D (2012). Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. , 151 - 153.
Chicago	ALPTEKİN Kerem,SÜLEYMAN Türker,DIRAÇOĞLU Demirhan Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. (2012): 151 - 153.
MLA	ALPTEKİN Kerem,SÜLEYMAN Türker,DIRAÇOĞLU Demirhan Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. , 2012, ss.151 - 153.
AMA	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. . 2012; 151 - 153.
Vancouver	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. . 2012; 151 - 153.
IEEE	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D "Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation." , ss.151 - 153, 2012.
ISNAD	ALPTEKİN, Kerem vd. "Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation". (2012), 151-153.

APA	ALPTEKİN K, SÜLEYMAN T, DIRAÇOĞLU D (2012). Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 58(2), 151 - 153.
Chicago	ALPTEKİN Kerem,SÜLEYMAN Türker,DIRAÇOĞLU Demirhan Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 58, no.2 (2012): 151 - 153.
MLA	ALPTEKİN Kerem,SÜLEYMAN Türker,DIRAÇOĞLU Demirhan Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.58, no.2, 2012, ss.151 - 153.
AMA	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2012; 58(2): 151 - 153.
Vancouver	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2012; 58(2): 151 - 153.
IEEE	ALPTEKİN K,SÜLEYMAN T,DIRAÇOĞLU D "Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 58, ss.151 - 153, 2012.
ISNAD	ALPTEKİN, Kerem vd. "Chronic nutritional polyneuropathy after bariatric surgery: A rare case with a common presentation". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 58/2 (2012), 151-153.