A new etiology for variant of Guillain-Barré syndrome: bariatric surgery

Year 2019, Volume: 5 Issue: 6, 1024 - 1027, 04.11.2019

Şevki Şahin , Miruna Florentina Ateş , Nilgün Çınar Sibel Karşıdağ

https://doi.org/10.18621/eurj.461760

Abstract

Bariatric surgery is an effective treatment for
obesity. However, the number of acute or chronic neurological complications
after bariatric surgery, including Guillain-Barré syndrome, is increasingly
reported. We present here two cases which developed acute motor sensory
polyneuropathy a couple months after bariatric surgery which rapidly progressed
over the following month. Both patients used received parenteral vitamin B
complex replacement after surgery. The first case responded well to intravenous
immunoglobulin (IVIg) treatment. However, the second case required
plasmapheresis and physical rehabilitation for recovery after IVIg treatment. It
is thought that minerals, vitamins, and trace element deficiencies can develop
after bariatric surgery. These deficiencies may trigger inflammatory and
autoimmune mechanisms and cause acute polyneuropathies. In such cases, it
should be kept in mind that immune therapies may be beneficial, as well as
vitamins. 

Keywords

Bariatric, complication, neuropathy, malnutrition, Guillain-Barré syndrome

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