Neurologic Complications of Gastric Partitioning

doi:10.1001/archneur.1985.04060070065017

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Vol. 42 No. 7, July 1985

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Neurologic Complications of Gastric Partitioning

George W. Paulson, MD; Edward W. Martin, MD; Cathy Mojzisik, RN; Larey C. Carey, MD

Arch Neurol. 1985;42(7):675-677.

Abstract

• Six patients who had gastric reduction for morbid obesitysuffered severe complex neurologic disturbances that includedconfusion and inappropriate behavior. All were profoundly weakor paraplegic, and recovery was delayed and incomplete. Encephalopathywas documented by EEG and neurologic examination. The causeis uncertain. Acute catabolism of lipid may predispose to damageof the nervous system, but relative vitamin deficiency is amore obvious and treatable explanation.

Author Affiliations

From the Departments of Neurology (Dr Paulson) and Surgery (Drs Martin and Carey and Ms Mojzisik), Ohio State University College of Medicine, Columbus.

Footnotes

Accepted for publication July 3, 1984.

Reprint requests to 452 Means Hall, 1655 Upham Dr, Columbus,OH 43210 (Dr Paulson).

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