Case 35-2017: A 57-Year-Old Woman with Hypoesthesia and Weakness in the Legs and Arms

A 57-year-old-woman with a history of gastric bypass presented with hypoesthesia, paresthesia, and weakness in the arms and legs. Studies for somatosensory evoked potentials were consistent with disruption of central conduction. A diagnostic test was performed.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2017-11, Vol.377 (20), p.1977-1984
Hauptverfasser:	Bowley, Michael P, David, William S, Cho, Tracey A, Dighe, Anand S
Format:	Artikel
Sprache:	eng
Schlagworte:	Case reports Copper - deficiency Deficiency Diseases - chemically induced Deficiency Diseases - complications Deficiency Diseases - diagnosis Diagnosis, Differential Diagnostic Techniques, Neurological Electromyography Evoked potentials Evoked Potentials, Somatosensory - physiology Female Gastric Bypass Gastrointestinal surgery Humans Hypesthesia - etiology Immunoglobulins Legs Medical diagnosis Middle Aged Muscle Weakness - etiology Neurological disorders Neurology NMR Nuclear magnetic resonance Paresthesia Somatosensory evoked potentials Spinal Cord Diseases - diagnosis Spinal Cord Diseases - etiology Vitamin B 12 Deficiency - diagnosis Vitamin E Deficiency - diagnosis Zinc - adverse effects
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Beschreibung
Zusammenfassung:	A 57-year-old-woman with a history of gastric bypass presented with hypoesthesia, paresthesia, and weakness in the arms and legs. Studies for somatosensory evoked potentials were consistent with disruption of central conduction. A diagnostic test was performed.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc1710564