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Howard Feit, MD, PhD; Mark R. Glasberg, MD
Department of Neurology Henry Ford Hospital 2799 W Grand Blvd Detroit, MI 48202

Arch Neurol. 1986;43(7):642.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We read with great interest the report by Paulson et al¹ concerning the neurologic complications of gastric partitioning. In our earlier report,² patient 2 was markedly psychotic. We did not emphasize this aspect because we had no information about her previous psychiatric status except that she was below average in intelligence. Now that additional examples of psychosis occurring together with sensory neuropathy have been described in patients who have undergone gastric partitioning, we agree that psychosis should be considered part of the overall syndrome. This neurologic syndrome may resemble porphyria, which will always need to be excluded in these patients because starvation is one of the potential precipitating factors in porphyria.

Concerning the pathophysiology of this disorder, May³ has published a related case of a patient who was not obese and underwent gastric surgery that included a vagotomy, an antrectomy, and a Billroth II . . . [Full Text PDF of this Article]

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