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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 obesity suffered severe complex neurologic disturbances that included confusion and inappropriate behavior. All were profoundly weak or paraplegic, and recovery was delayed and incomplete. Encephalopathy was documented by EEG and neurologic examination. The cause is uncertain. Acute catabolism of lipid may predispose to damage of the nervous system, but relative vitamin deficiency is a more 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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