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?
Chai
Yaohui
Y
Department of Neurology, The University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Bertorini
Tulio E
TE
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