A female with progressive four-limb paresthesias and gait difficulty.
OBJECTIVE
To discuss a case of progressive four-limb paresthesias and gait difficulty in a female who had previously undergone gastric bypass surgery.
1) What is the differential diagnosis of progressive four-limb paresthesias and gait difficulty? 2) How would one approach diagnostic testing for such a patient? 3) What are the complications of gastric bypass surgery? 4) What is the treatment for this patient?
Department of Neurology, The University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Yaohui
Y
Chai
Tulio E
TE
Bertorini
D003300:Copper / Q000627:therapeutic use; D003937:Diagnosis, Differential; D018450:Disease Progression; D004576:Electromyography; D005121:Extremities / Q000503:physiopathology*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy; D006801:Humans; D008875:Middle Aged; D010292:Paresthesia / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy / Q000473:pathology*; D015032:Zinc / Q000627:therapeutic use
D003300:Copper; D015032:Zinc