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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| Veröffentlicht in: | The New England journal of medicine 2017-11, Vol.377 (20), p.1977-1984 |
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| container_end_page | 1984 |
|---|---|
| container_issue | 20 |
| container_start_page | 1977 |
| container_title | The New England journal of medicine |
| container_volume | 377 |
| creator | Bowley, Michael P David, William S Cho, Tracey A Dighe, Anand S |
| description | 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. |
| doi_str_mv | 10.1056/NEJMcpc1710564 |
| format | Article |
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Studies for somatosensory evoked potentials were consistent with disruption of central conduction. A diagnostic test was performed.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc1710564</identifier><identifier>PMID: 29141163</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>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</subject><ispartof>The New England journal of medicine, 2017-11, Vol.377 (20), p.1977-1984</ispartof><rights>Copyright © 2017 Massachusetts Medical Society. 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Studies for somatosensory evoked potentials were consistent with disruption of central conduction. A diagnostic test was performed.</description><subject>Case reports</subject><subject>Copper - deficiency</subject><subject>Deficiency Diseases - chemically induced</subject><subject>Deficiency Diseases - complications</subject><subject>Deficiency Diseases - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Techniques, Neurological</subject><subject>Electromyography</subject><subject>Evoked potentials</subject><subject>Evoked Potentials, Somatosensory - physiology</subject><subject>Female</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Hypesthesia - etiology</subject><subject>Immunoglobulins</subject><subject>Legs</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Muscle Weakness - etiology</subject><subject>Neurological disorders</subject><subject>Neurology</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Paresthesia</subject><subject>Somatosensory evoked potentials</subject><subject>Spinal Cord Diseases - diagnosis</subject><subject>Spinal Cord Diseases - etiology</subject><subject>Vitamin B 12 Deficiency - diagnosis</subject><subject>Vitamin E Deficiency - diagnosis</subject><subject>Zinc - adverse effects</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10E1LAzEQBuAgiq2tV48iCOJl60y-c5SlflH1oueQZFPo0u3WTffgv3eXrYKCuQyBZ16Gl5AzhBmCkDcv86fnsA2o-h8_IGMUjGWcgzwkYwCqM64MG5GTlEroHnJzTEbUIEeUbEymuUvxgomMAqopOVq6dYqn-zkh73fzt_whW7zeP-a3iywwMLuMGeM9eOeZ9xq8FAYZaI2cgteMhgId9apwISClJiiBLuggVeE5imgom5DrIXfb1B9tTDtbrVKI67XbxLpNFo0UVDAldUcv_9CybptNd12vuORM8F7NBhWaOqUmLu22WVWu-bQItm_G_u6pWzjfx7a-isUP_y6mA1cDqKpkN7Gs_kv6AqdPaa8</recordid><startdate>20171116</startdate><enddate>20171116</enddate><creator>Bowley, Michael P</creator><creator>David, William S</creator><creator>Cho, Tracey A</creator><creator>Dighe, Anand S</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20171116</creationdate><title>Case 35-2017</title><author>Bowley, Michael P ; David, William S ; Cho, Tracey A ; Dighe, Anand S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-399bb0bab3bb80b659130881420b832cd1a2b7dacc1229c751ac8c67db415e923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Case reports</topic><topic>Copper - deficiency</topic><topic>Deficiency Diseases - chemically induced</topic><topic>Deficiency Diseases - complications</topic><topic>Deficiency Diseases - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Techniques, Neurological</topic><topic>Electromyography</topic><topic>Evoked potentials</topic><topic>Evoked Potentials, Somatosensory - physiology</topic><topic>Female</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Hypesthesia - etiology</topic><topic>Immunoglobulins</topic><topic>Legs</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Muscle Weakness - etiology</topic><topic>Neurological disorders</topic><topic>Neurology</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Paresthesia</topic><topic>Somatosensory evoked potentials</topic><topic>Spinal Cord Diseases - diagnosis</topic><topic>Spinal Cord Diseases - etiology</topic><topic>Vitamin B 12 Deficiency - diagnosis</topic><topic>Vitamin E Deficiency - 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Studies for somatosensory evoked potentials were consistent with disruption of central conduction. A diagnostic test was performed.</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>29141163</pmid><doi>10.1056/NEJMcpc1710564</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2017-11, Vol.377 (20), p.1977-1984 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1965253768 |
| source | MEDLINE; New England Journal of Medicine Current; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland |
| subjects | 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 |
| title | Case 35-2017: A 57-Year-Old Woman with Hypoesthesia and Weakness in the Legs and Arms |
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