Delayed onset of ataxia in a patient with short bowel syndrome: a case of vitamin E deficiency.
Chronic gastrointestinal disease can result in nutritional deficiencies that can have a direct effect on the neurologic system. Although acute abnormalities can be corrected, symptoms are rarely reversible. Recognizing the appropriate abnormality is a crucial part of long-term treatment strategies in this population. Because motor and cerebellar symptoms can contribute to poor feeding, aggressive supplementation should begin as soon as symptoms are recognized. We present a patient with delayed onset and progressive hypovitaminosis E and briefly review diagnostic and therapeutic options.
Walker
Melanie
M
Department of Neurology, University of Washington Medical Center, 127, 1660 South Columbian Way, Seattle, WA 98108, USA.
Samii
Ali
A
D001259:Ataxia / Q000175:diagnosis / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D008274:Magnesium / Q000008:administration & dosage; D008275:Magnesium Deficiency / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012778:Short Bowel Syndrome / Q000150:complications*; D014810:Vitamin E / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000097:blood; D014811:Vitamin E Deficiency / Q000150:complications* / Q000175:diagnosis
D014810:Vitamin E; D011092:Polyethylene Glycols; D008274:Magnesium; C014225:tocophersolan