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Arch Neurol. 2000 Sep;57(9):1356-9.

Wernicke-korsakoff encephalopathy and polyneuropathy after gastroplasty for morbid obesity: report of a case.

Author information

1
Department of Neurology, S. Orsola-Malpighi Hospital, via Albertoni 15, 40138 Bologna, Italy.

Abstract

BACKGROUND:

Gastric partitioning is a surgical procedure for the treatment of morbid obesity that may engender neurological complications, such as Wernicke encephalopathy and polyneuropathy.

SETTING:

A specialist hospital.

PATIENT:

A 36-year-old woman developed Wernicke-Korsakoff encephalopathy and polyneuropathy 3 months after gastroplasty for morbid obesity. A magnetic resonance scan documented the diagnosis, and a clear improvement occurred after parenteral thiamine treatment. In our patient and in previously described cases of the literature, postsurgical vomiting is a constant finding that seems to be the precipitating factor of neurological complications of gastric partitioning.

CONCLUSION:

Persistent vomiting after gastroplasty for morbid obesity should be considered an alarming symptom to treat immediately with appropriate measures.

PMID:
10987905
DOI:
10.1001/archneur.57.9.1356
[Indexed for MEDLINE]

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