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NEUROLOGY 1987;37:196
© 1987 American Academy of Neurology

Neurologic complications after gastric restriction surgery for morbid obesity

J. M. Abarbanel, MD, V. M. Berginer, MD, PhD, A. Osimani, MD, H. Solomon, MD and I. Charuzi, MD

Departments of Neurolugy (Drs. Abarbanel, Berginer, and Osimani) and Surgery C (Drs. Solomon and Charuzi), Soroka University Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

We report the occurrence of neurologic complications in 23 patients who underwent gastric restriction surgery for the treatment of morbid obesity. Complications occurred 3 to 20 months after surgery. All the patients had had protracted vomiting for the first 3 months after the operation. The following syndromes were found chronic or subacute symmetric polyneuropathy (12 patients), acute severe polyneuropathy (1 patient), burning feet syndrome (2 patients), meralgia paresthetica (3 patients), myotonic syndrome (1 patient), posterolateral myelopathy (2 patients), and Wernicke-Korsakoff encephalopathy (2 patients). The patients suffering from burning feet syndrome and those with Wernicke-Korsakoff encephalopathy showed a clear improvement after parenteral thiamine treatment. As to the rest of the patients, the occurrence of the complications seems to be linked to nutritional causes, although no such deficiencies were detected.

Address correspondence and reprint requests to Dr. Abarbanel, Department of Neurology, Soroka Medical Center, PO Box 151, Beer-Sheva 84101, Israel.

Received February 3, 1986. Accepted for publication May 14, 1986.




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