title: Progressive severe anemia due to copper deficiency five years after subarachnoid hemorrhage.
abstract: Patients with neurological illnesses often require prolonged enteral or parenteral nutrition. The complications of this type of feeding may be unfamiliar to neurosurgeons and neurologists, however, these complications may be an important source of ongoing morbidity. We present a case of severe anemia due to copper deficiency in a patient requiring enteral nutrition after SAH. The anemia resolved with copper supplements. A high index of suspicion is needed to recognise and treat complications of enteral nutrition.
authors.affiliation: Department of Neurosurgery, Nishinara National Hospital, Nara-city, Nara, Japan. kaido@nmu-gw.naramed-u.ac.jp
authors.forename: Takanobu
authors.initials: T
authors.lastname: Kaido
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hashimoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Okamura
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Tsukaguchi
mesh_terms: D000740:Anemia / Q000209:etiology*; D003300:Copper / Q000172:deficiency*; D003937:Diagnosis, Differential; D004750:Enteral Nutrition / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000473:pathology; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy*; D020217:Vertebral Artery Dissection / Q000150:complications
chemical_list: D003300:Copper