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Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
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Copper Deficiency Myeloneuropathy Following Roux-en-Y Gastric Bypass in a 72-Year-Old Female.
Zachary Kirkland1, Ricardo J Villasmil1, Jeffrey Alookaran1
1Internal Medicine, Sarasota Memorial Hospital, Sarasota, USA.
Cureus
|June 23, 2022
Summary
Copper deficiency can cause myeloneuropathy after gastric bypass surgery, presenting as sensory loss and ataxia. Prompt copper supplementation can reverse these neurological deficits.
Area of Science:
- Neurology
- Gastroenterology
- Nutritional Science
Background:
- Gastric bypass surgery for weight management is associated with various nutritional deficiencies.
- Copper deficiency is an emerging cause of neurological complications post-gastric bypass.
Observation:
- A 72-year-old female presented with progressive sensory loss in extremities and urinary retention.
- Magnetic Resonance Imaging (MRI) revealed T2 hyperintensities in the dorsal spinal cord.
Findings:
- Low serum copper levels were identified as the cause of the patient's myeloneuropathy.
- Intravenous copper supplementation led to rapid symptom improvement.
Implications:
- Copper deficiency should be considered in patients with neurological symptoms after gastric bypass.
- Early diagnosis and treatment of copper deficiency are crucial for neurological recovery.
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