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[Peroneal weakness].

T Mengden1, A Hermann, W Vetter

  • 1Departement für Innere Medizin, Universitätsspital Zürich.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|August 2, 1990
PubMed
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A strict diet caused peroneal nerve palsy in a young man, leading to foot drop. Symptoms resolved with a less restrictive diet, indicating a link between rapid weight loss and nerve issues.

Area of Science:

  • Neurology
  • Metabolic Disorders
  • Dietary Medicine

Background:

  • Peroneal nerve palsy, characterized by foot drop, can arise from various causes including trauma and polyneuropathy.
  • Rapid and significant weight loss, often associated with strict dietary regimens, may present with neurological complications.

Observation:

  • A 22-year-old male experienced bilateral peroneal nerve palsy, with the right side manifesting two months after left-sided foot drop.
  • Both neurological events occurred during a period of substantial weight loss (30 kg in 3 months) due to a strict diet.

Findings:

  • Slimmers' paralysis, a specific type of peroneal nerve palsy, was diagnosed after ruling out other potential etiologies like polyneuropathy and trauma.
  • The patient achieved complete remission of symptoms following the adoption of a less restrictive diet.

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Implications:

  • This case highlights the potential neurological risks associated with extreme dieting and rapid weight loss.
  • Recognizing Slimmers' paralysis is crucial for timely diagnosis and management, emphasizing the importance of balanced nutrition during weight reduction programs.