Bariatric surgery related proximal myopathy: A partially reversible complication

Deficiency neuropathies and rhabdomyolysis have previously been reported after bariatric surgery (BS) but never myopathies. We report cases of five patients with morbid obesity who developed within 2 to 4 months of a BS, proximal myopathy following significant and rapid weight loss worsened by posto...

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Veröffentlicht in:Revue neurologique 2021-11, Vol.177 (9), p.1183-1188
Hauptverfasser: Brisset, M., Durand, M.C., Iosif, A., Hanachi, M., Palazzo, C., Carlier, R.-Y., Laforêt, P., Nicolas, G.
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container_end_page 1188
container_issue 9
container_start_page 1183
container_title Revue neurologique
container_volume 177
creator Brisset, M.
Durand, M.C.
Iosif, A.
Hanachi, M.
Palazzo, C.
Carlier, R.-Y.
Laforêt, P.
Nicolas, G.
description Deficiency neuropathies and rhabdomyolysis have previously been reported after bariatric surgery (BS) but never myopathies. We report cases of five patients with morbid obesity who developed within 2 to 4 months of a BS, proximal myopathy following significant and rapid weight loss worsened by postoperative gastrointestinal complications. Muscle weakness concerned lower limbs in particular in quadriceps and less frequently in upper limbs and diaphragm, sometimes mimicked a Guillain–Barré syndrome. Muscle biopsy performed in 1 patient, revealed selective atrophy of type 2 fibers. Weakness slowly decreased with refeeding with vitamins supplementation. We enlarge here the clinical pattern of post-BS complications.
doi_str_mv 10.1016/j.neurol.2020.10.012
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subjects Bariatric surgery
DEXA scanner
Metabolic dysfunction
MRI
Myopathy
title Bariatric surgery related proximal myopathy: A partially reversible complication
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