Osteomalacia induced peripheral neuropathy after obesity reduction surgery
Open Access
- 1 January 2013
- journal article
- case report
- Published by Medknow in Annals of Indian Academy of Neurology
- Vol. 16 (4), 690-2
- https://doi.org/10.4103/0972-2327.120466
Abstract
Osteomalacia and rickets are important reversible causes of debilitating muscular weakness and bony pains in India among all socio-economic strata and at all ages. Osteomalacia after bariatric surgery is documented in literature. Most reports on osteomalacic weakness note myopathic pattern on electromyography. We present the case of a young obese girl from a good socio-economic status who developed severe muscular weakness after sleeve gastrectomy surgery. The patient was found to have osteomalacia with normal vitamin B12 and folate levels. Electrodiagnostic studies demonstrated neuropathic pattern while radiological tests confirmed osteopenia and Looser's zones. Specific vitamin D supplementation was associated with improvement though contribution of other micronutrients in diet cannot be ruled out. Relevance of vitamin D deficiency and urgent need for its correction in the population all over the world and especially in Asia is an emerging health issue. Peripheral motor neuropathy is a rare, seldom reported presentation of osteomalacia.Keywords
This publication has 10 references indexed in Scilit:
- The Gastric Sleeve: Losing Weight as Fast as Micronutrients?Obesity Surgery, 2010
- Prevention and Treatment of Peripheral Neuropathy after Bariatric SurgeryCurrent Treatment Options in Neurology, 2010
- MYOPATHY AND NEUROPATHY ASSOCIATED WITH OSTEOMALACIAActa Neurologica Scandinavica, 2009
- Nutritional bone disease in Indian population.2008
- A controlled study of peripheral neuropathy after bariatric surgeryNeurology, 2004
- Prevalence and significance of low 25-hydroxyvitamin D concentrations in healthy subjects in DelhiThe American Journal of Clinical Nutrition, 2000
- Electromyography in nutritional osteomalacic myopathy.Journal of Neurology, Neurosurgery & Psychiatry, 1976
- Neuromuscular Disease in Secondary HyperparathyroidismAnnals of Internal Medicine, 1975
- MYOPATHY, OSTEOMALACIA AND HYPERPARATHYROIDISMBrain, 1967
- Myopathy in Metabolic Bone DiseaseBMJ, 1965