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Bilateral peroneal neuropathy after bariatric surgery: A case report
Zuhal Özişler1, Müfit Akyüz1, Elif Yalçın1
1Department of Physical Medicine and Rehabilitation, Ankara Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Turkish Journal of Physical Medicine and Rehabilitation
|August 28, 2019
Summary
Rapid weight loss after bariatric surgery (BS) can cause bilateral peroneal neuropathy (PN), leading to foot drop. Careful dietary management post-BS is crucial to prevent this complication.
Area of Science:
- Bariatric surgery
- Neurology
- Metabolic disorders
Background:
- Bariatric surgery (BS) is increasingly performed to address severe obesity.
- Postoperative monitoring is essential for managing potential medical complications after BS.
- Understanding these complications is critical for patient care.
Observation:
- A case of bilateral peroneal neuropathy (PN) is presented following successful BS.
- The patient experienced rapid weight loss of 40 kg in 16 weeks.
- Foot drop symptoms appeared on the left (18 weeks) and then the right (24 weeks) post-surgery.
Findings:
- Bilateral PN associated with weight loss after BS is uncommon.
- Rapid rate of weight loss is identified as a significant risk factor for PN.
- This case underscores the link between accelerated weight reduction and neurological deficits.
Implications:
- Highlights the importance of controlled weight loss following bariatric procedures.
- Emphasizes the need for optimal nutritional strategies to prevent nutrient deficiencies and complications like PN.
- Suggests that monitoring for PN should be considered in patients with rapid weight loss post-BS.
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