A Landais1, G Saint-Georges2. 1. Service de neurologie, CHU de Pointe-à-Pître, route de Chauvel, 97139 Guadeloupe, France. Electronic address: landais-anne@voila.fr. 2. Service de gastroentérologie, CHU de Pointe-à-Pître, route de Chauvel, 97139 Guadeloupe, France.
Abstract
INTRODUCTION: Bariatric restrictive interventions, as sleeve gastrectomy or gastric banding can cause metabolic complications, especially when vomiting is present, such as thiamine deficiency that can lead to Wernicke's encephalopathy. CASE REPORT: A 31-year-old man with a 47kg/m(2) body mass index presented with Wernicke's encephalopathy, with ophtalmoplegia, nystagmus, ataxia and confusion, followed by a Korsakoff syndrome, occurring two months after a sleeve gastrectomy. MRI showed hyperintense signals on T2 and FLAIR image in both thalamus, periaqueducal area and mamillary bodies. CONCLUSION: A close clinical and biological monitoring is required in the first year after surgery, especially if vomiting occurs. Early diagnostic and treatment are needed to avoid severe sequelae.
INTRODUCTION: Bariatric restrictive interventions, as sleeve gastrectomy or gastric banding can cause metabolic complications, especially when vomiting is present, such as thiamine deficiency that can lead to Wernicke's encephalopathy. CASE REPORT: A 31-year-old man with a 47kg/m(2) body mass index presented with Wernicke's encephalopathy, with ophtalmoplegia, nystagmus, ataxia and confusion, followed by a Korsakoff syndrome, occurring two months after a sleeve gastrectomy. MRI showed hyperintense signals on T2 and FLAIR image in both thalamus, periaqueducal area and mamillary bodies. CONCLUSION: A close clinical and biological monitoring is required in the first year after surgery, especially if vomiting occurs. Early diagnostic and treatment are needed to avoid severe sequelae.
Authors: Dino Kröll; Markus Laimer; Yves Michael Borbély; Kurt Laederach; Daniel Candinas; Philipp Christoph Nett Journal: Obes Surg Date: 2016-01 Impact factor: 4.129