Parkinsonism as a Complication of Bariatric Surgery

Walaa A. Kamel; Jasem Y. Al Hashel; Ayman Kilany; Samira Altailji

doi:10.3889/oamjms.2015.121

Authors

Walaa A. Kamel Neurolgy, Ibn Sina Hospital
Jasem Y. Al Hashel Neurolgy, Ibn Sina Hospital
Ayman Kilany Neurolgy, Ibn Sina Hospital
Samira Altailji Nuclear Medicine, Ibn Sina Hospital

DOI:

https://doi.org/10.3889/oamjms.2015.121

Keywords:

parkinsonism, vitamin deficiency, complication, bariatric surgery, Kuwait

Abstract

BACKGROUND: The association between Parkinsonism and BS has already been reported in only three patients worldwide.

CASE SUMMARY: We report a 39-years old Kuwaiti female who presented with parkinsonian features and mononeuropathy (carpal tunnel syndrome) 3 years after a vertical sleeve gastrectomy operation.

CONCLUSION: We conclude that with the increasing popularity of bariatric surgery, clinicians will need to recognize and manage neurologic complications that may appear soon after or years to decades later. Thorough evaluation is essential for any patient who has undergone bariatric surgery and develops neurologic symptoms.

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References

Gastrointestinal surgery for severe obesity. NIH consens. Dev Conf Consens Statement. 1991; 9(1):25-27. DOI: https://doi.org/10.1381/096089291765560962

Ellison SR. Bariatric surgery: a review of the available procedures and complications for the emergency physician. J Emerg Med. 2008:34:21-32.

http://dx.doi.org/10.1016/j.jemermed.2007.03.012 DOI: https://doi.org/10.1016/j.jemermed.2007.03.012

PMid:17976781

Aasheim ET, HofsÃ¸ D, Hjelmesaeth J, Sandbu R. Peripheral neuropathy and severe malnutrition following duodenal switch. Obes Surg. 2008;18:1640-1643.

http://dx.doi.org/10.1007/s11695-008-9539-2 DOI: https://doi.org/10.1007/s11695-008-9539-2

PMid:18463930

Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248:714-720. DOI: https://doi.org/10.1097/SLA.0b013e3181884308

PMid:18948797

Kazemi A, Frazier T, Cave M. Micronutrient related neurologic complications following bariatric surgery. Curr Gastroenterol Rep. 2010;12:4,288-295.

http://dx.doi.org/10.1007/s11894-010-0120-5 DOI: https://doi.org/10.1007/s11894-010-0120-5

PMid:20640946

Clark N. Neuropathy following bariatric surgery. Semin Neurol. 2010;30(4):433-435.

http://dx.doi.org/10.1055/s-0030-1267287 DOI: https://doi.org/10.1055/s-0030-1267287

PMid:20941676

Rudnicki SA. Prevention and treatment of peripheral neuropathy after bariatric surgery. Curr Treat Options Neurol. 2010;12(1):29-36.

http://dx.doi.org/10.1007/s11940-009-0052-2 DOI: https://doi.org/10.1007/s11940-009-0052-2

PMid:20842487

Fang BA, Siddiqi A. Neurologic complications of Bariatric surgery. Rev Neurol Dis. 2010;7(4):119-124.

Fabiani G, Teive H. Parkinsonism onset after bariatric surgery, MDS 18th International Congress of Parkinson's Disease and Movement Disorders, vol. 29, Abstract supplement. Stockholm: Sweden, June 8-12, 2014.

Newmark HL, Newmark J. Vitamin D and Parkinson's disease â€“ a hypothesis. Mov Disord. 2007;22:461-468.

http://dx.doi.org/10.1002/mds.21317 DOI: https://doi.org/10.1002/mds.21317

PMid:17230473

Evatt ML, Delong MR, Khazai N, et al. Prevalence of vitamin D insufficiency in patients with Parkinson disease and Alzheimer disease. Arch Neurol. 2008;65:1348-1352.

http://dx.doi.org/10.1001/archneur.65.10.1348 DOI: https://doi.org/10.1001/archneur.65.10.1348

PMid:18852350 PMCid:PMC2746037

Iverson D, McKenzie M. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology. 2008;70:324.

http://dx.doi.org/10.1212/01.wnl.0000299722.37082.51 DOI: https://doi.org/10.1212/01.wnl.0000299722.37082.51

PMid:18209209

Pigeyre M, Seguy D, Arnalsteen L, et al. Laparoscopic gastric bypass complicated by portal venous thrombosis and severe neurological complications. Obes Surg. 2008;18:1203-1207.

http://dx.doi.org/10.1007/s11695-008-9467-1 DOI: https://doi.org/10.1007/s11695-008-9467-1

PMid:18459022

Thaisetthawatkul P. Neuromuscular complications of bariatric surgery. Phys Med Rehabil Clin N Am. 2008;19:111-124.

http://dx.doi.org/10.1016/j.pmr.2007.10.008 DOI: https://doi.org/10.1016/j.pmr.2007.10.008

PMid:18194753

Tucker ON, Szomstein S, Rosenthal RJ. Nutritional consequences of weight-loss surgery. Med Clin North Am. 2007;91:499-514.

http://dx.doi.org/10.1016/j.mcna.2007.01.006 DOI: https://doi.org/10.1016/j.mcna.2007.01.006

PMid:17509392