Persistent Paraplegia After Sleeve Gastrectomy: a Case Report

Neurological complications secondary to weight loss surgery (WLS) are highly reported and include peripheral nerve injury, Wernicke�s encephalopathy, polyradiculoneuropathy, neuropathy, myelopathy, peripheral neuropathy, and myopathy. Neurological complications may result from mechanical or inflammatory mechanisms, but they result mainly from deficiencies in B vitamins, vitamin D, vitamin E, zinc, and copper occurring in WLS. Herein is reported the case of a 25-year-old woman with complaints of paraplegia after a sleeve gastrectomy probably due to nutritional deficiencies. This case illustrates the necessity for medical nutrition therapy (MNT) before and after bariatric surgery. © 2020, Association of Surgeons of India