Abstract:
:Bariatric surgical procedures are increasingly common. In this review, we characterize the neurologic complications of such procedures, including their mechanisms, frequency, and prognosis. Literature review yielded 50 case reports of 96 patients with neurologic symptoms after bariatric procedures. The most common presentations were peripheral neuropathy in 60 (62%) and encephalopathy in 30 (31%). Among the 60 patients with peripheral neuropathy, 40 (67%) had a polyneuropathy and 18 (30%) had mononeuropathies, which included 17 (94%) with meralgia paresthetica and 1 with foot drop. Neurologic emergencies including Wernicke's encephalopathy, rhabdomyolysis, and Guillain-Barré syndrome were also reported. In 18 surgical series reported between 1976 and 2004, 133 of 9996 patients (1.3%) were recognized to have neurologic complications (range: 0.08-16%). The only prospective study reported a neurologic complication rate of 4.6%, and a controlled retrospective study identified 16% of patients with peripheral neuropathy. There is evidence to suggest a role for inflammation or an immunologic mechanism in neuropathy after gastric bypass. Micronutrient deficiencies following gastric bypass were evaluated in 957 patients in 8 reports. A total of 236 (25%) had vitamin B(12) deficiency and 11 (1%) had thiamine deficiency. Routine monitoring of micronutrient levels and prompt recognition of neurological complications can reduce morbidity associated with these procedures.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Koffman BM,Greenfield LJ,Ali II,Pirzada NAdoi
10.1002/mus.20394subject
Has Abstractpub_date
2006-02-01 00:00:00pages
166-76issue
2eissn
0148-639Xissn
1097-4598journal_volume
33pub_type
杂志文章,评审相关文献
MUSCLE & NERVE文献大全abstract:INTRODUCTION:We investigated the viscoelastic stress relaxation response before and after a 10-week hamstrings static stretch program. METHODS:The maximal range of motion (ROMmax ) and maximal torque (Torquemax ) were assessed before and after a 10-week stretching program. Six 30-s static stretches at a predetermined ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24593
更新日期:2015-05-01 00:00:00
abstract::In a reported patient with myopathic carnitine deficiency, addition of exogenous carnitine to muscle homogenates failed to correct palmitate oxidation, and oral carnitine was of no clinical benefit. In a muscle biopsy from this patient, we found that, in contrast to the marked deficiency of free carnitine (3% of norma...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880080809
更新日期:1985-10-01 00:00:00
abstract:INTRODUCTION:Stretch injuries in peripheral nerves can cause pain, paralysis, and loss of sensation. Although optimal treatment depends on the degree of injury, it is difficult to determine the severity of induced nerve damage. METHODS:The load-deformation curves of rat median nerves were generated from monotonic load...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.23443
更新日期:2012-12-01 00:00:00
abstract::Calpains are Ca2+ -dependent cytosolic cysteine proteases that participate in the pathology of Duchenne muscular dystrophy (DMD). Utrophin is a functional homolog of dystrophin that partially compensates for dystrophin deficiency in myofibers of mdx mice. In this study, we investigated the susceptibility of utrophin t...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.20549
更新日期:2006-06-01 00:00:00
abstract::Motor unit (MU) number and size estimates were obtained from the human flexor digiti minimi muscle using histological methods. Ten adult fresh cadavers (33-74 years old) were used. The number of MUs was 130 +/- 15 and the MU size was 108 +/- 10. These values are similar to those reported for other hypothenar muscles, ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/(sici)1097-4598(199801)21:1<112::aid-mus14
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:The main goal of this study was to determine the contribution of the anterior forearm muscles to the compound muscle action potential (CMAP) recorded from the extensor digitorum (ED) after proximal stimulation. METHODS:Twenty-one healthy volunteers and 114 patients with compressive and traumatic radial ne...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.27006
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION:The purposes of this study were to (1) develop a fatigue threshold based on electromyography (EMG) and heart rate (HR) responses for treadmill running from a single incremental test; and (2) propose a new fatigue threshold called the RV(EMGFT) and RV(HRFT). METHODS:Eleven men performed incremental treadmi...
journal_title:Muscle & nerve
pub_type: 临床试验,杂志文章
doi:10.1002/mus.23345
更新日期:2012-10-01 00:00:00
abstract::The aim of this investigation was to define the boundaries of compound motor action potential (CMAP) dispersion, amplitude decay, and area decay in a control population and determine their dependence on external variables such as age and interelectrode distance. Measurements were made from median, ulnar, and common pe...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880161107
更新日期:1993-11-01 00:00:00
abstract::We studied membrane ultrastructural localization of anionic phospholipids (AP) and sialic acid (SA) calcium binding sites in muscle biopsies from Duchenne muscular dystrophy (DMD) and 3 Becker's muscular dystrophy (BMD) patients using polymyxin B (PXB) and limulus polyphemus (LP) as cytochemical markers. We found that...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880150311
更新日期:1992-03-01 00:00:00
abstract::Comparison was made between simultaneous recordings of the electromyogram (EMG) and acoustic myogram (AMG) signals and the torque produced by the lumbar erectores spinae muscles of three healthy subjects while they performed isometric contractions. Repeatability of each signal was studied. The AMG had a relationship t...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880110409
更新日期:1988-04-01 00:00:00
abstract::Protein synthesis in soleus and extensor digitorum longus (EDL) muscles was measured in vitro to test the hypothesis that the lack of muscle protein accumulation in dystrophic conditions could be caused by a reduced sensitivity to insulin. We demonstrate that physiological insulin concentrations stimulate protein synt...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880060709
更新日期:1983-09-01 00:00:00
abstract::Rhabdomyolysis, a syndrome of skeletal muscle breakdown with leakage of muscle contents, is frequently accompanied by myoglobinuria, and if sufficiently severe, acute renal failure with potentially life-threatening metabolic derangements may ensue. A diverse spectrum of inherited and acquired disorders affecting muscl...
journal_title:Muscle & nerve
pub_type: 杂志文章,评审
doi:10.1002/mus.10053
更新日期:2002-03-01 00:00:00
abstract::An appreciation of the comparative functions of the corticospinal tract is of direct relevance to the understanding of how results from animal models can advance knowledge of the human motor system and its disorders. Two critical functions of the corticospinal tract are discussed: first, the role of descending project...
journal_title:Muscle & nerve
pub_type: 杂志文章,评审
doi:10.1002/mus.20333
更新日期:2005-09-01 00:00:00
abstract::Intramuscular injection of botulinum toxin A is used to treat focal dystonias. Because immunoresistance has been documented in some patients, other molecular forms of the toxin have been evaluated clinically. The present investigation compared the time course and extent of neuromuscular blockade and recovery of botuli...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.10213
更新日期:2002-09-01 00:00:00
abstract::Three cases of chronic distal sensorimotor neuropathy are described in patients with neurofibromatosis. One had type 2 or central neurofibromatosis with a chromosome 22 deletion; the precise form of the disease was not established in the other two. A striking clinical feature was a diffuse nodular enlargement of the p...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880130202
更新日期:1990-02-01 00:00:00
abstract::Large muscle genes are often sequenced using complementary DNA (cDNA) made from muscle messenger RNA (mRNA) to reduce the cost and workload associated with sequencing from genomic DNA. Two potential barriers are the availability of a frozen muscle biopsy, and difficulties in detecting nonsense mutations due to nonsens...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.22118
更新日期:2011-08-01 00:00:00
abstract::A small-scale procedure for preparing tightly coupled intact skeletal muscle mitochondria from myodystrophic (myd/myd) mice is described. Mitochondrial preparations derived from heart, liver, and skeletal muscle of myd/myd and their littermate (+/?) controls are characterized with respect to their cytochrome content a...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880020504
更新日期:1979-09-01 00:00:00
abstract::The diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) relies primarily on clinical and electrophysiologic examination, but the nerve biopsy findings may be supportive, especially in atypical cases. In order to define the usefulness of nerve biopsy in this disease, we retrospectively studied 44 cons...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.10348
更新日期:2003-04-01 00:00:00
abstract:INTRODUCTION:Cerebral palsy (CP) is associated with reduced muscle volumes, but previous studies have reported deficits in only a small number of muscles. The extent of volume deficits across lower limb muscles is not known. This study presents an imaging-based assessment of muscle volume and length deficits in 35 lowe...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24972
更新日期:2016-06-01 00:00:00
abstract::The fastest median and ulnar velocities derived by recording motor and mixed nerve action potentials, F waves, H-reflexes, and somatosensory evoked potentials (SEPs) were compared. H-reflex recording was facilitated by employing selective group Ia excitation during voluntary muscular contraction. Mixed nerve, SEP, and...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880070807
更新日期:1984-10-01 00:00:00
abstract::The dropped head syndrome occurs in a variety of neuromuscular disorders. We present a woman with chronic inflammatory demyelinating polyneuropathy who developed this syndrome, likely reflecting severe demyelination of nerves to cervical paraspinal muscles. ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880170717
更新日期:1994-07-01 00:00:00
abstract::The relationship between motor function and muscle strength in patients with spinal muscular atrophy (SMA) is still controversial. In 120 genetically proven SMA patients, aged 5 years or older, we measured muscle strength in the arms and legs by a hand-held dynamometer, forced vital capacity by a spirometer, and the t...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.20018
更新日期:2004-04-01 00:00:00
abstract:INTRODUCTION:In multifocal motor neuropathy (MMN), knowledge about the pattern of treatment response in a wide spectrum of muscle groups, distal as well as proximal, after intravenous immunoglobulin (IVIg) initiation is lacking. METHODS:Hand-held dynamometry data of 11 upper and lower limb muscles, from 47 patients wi...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.27185
更新日期:2021-01-26 00:00:00
abstract::The loss of contractile protein in Duchenne muscular dystrophy could result from low rates of synthesis, abnormally high rates of protein degradation, or a combination of both. We measured overall protein degradation rates in cultured human muscle cells obtained at biopsy from patients with Duchenne dystrophy or vario...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880080312
更新日期:1985-03-01 00:00:00
abstract::Muscle sodium-channel disorders cover a spectrum of rare myotonic diseases. In a German family with 17 affected individuals in four generations, we identified a heterozygous missense mutation in exon 24 A1481D (c.4442 C>A) of the voltage-gated sodium channel gene (SCN4A) alpha subunit. Phenotypes of 12 family members ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.20733
更新日期:2007-05-01 00:00:00
abstract::The latency fluctuation of single motor unit potentials (MUPH) in the H-reflex is greater than the latency fluctuation of MUPs in the direct (MUPM) and recurrent (MUPF) responses. This has been attributed to the variability in the impulse generation at the site of nerve stimulation, and to the variation in the synapti...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880150604
更新日期:1992-06-01 00:00:00
abstract:INTRODUCTION:Hereditary transthyretin (hATTR) amyloidosis is a progressive, degenerative disease, with peripheral neuropathy, cardiomyopathy, and other clinical manifestations. In this study we examine the impact of hATTR amyloidosis on quality of life (QOL). METHODS:Neuropathy-specific QOL, measured with the Norfolk ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.26515
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION:In this study we aimed to determine the maximal isometric muscle strength of a healthy, normal-weight, pediatric population between 6 and 15 years of age using hand-held dynamometry to establish strength reference values. The secondary objective was determining the relationship between strength and anthrop...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.25180
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:Skin-derived precursor cells (SKPs) are neural crest progenitor cells that can attain a Schwann cell-like phenotype through in vitro techniques (SKP-SCs). We hypothesized that SKP-SCs could produce mature myelin and, in doing so, facilitate the recovery of a focal demyelination injury. METHODS:We unilater...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24136
更新日期:2014-08-01 00:00:00
abstract::Several monoclonal antibodies (mcAbs) elicited against the nicotinic acetylcholine receptor (AChR) from Torpedo react also with skeletal muscle AChR. Such mcAbs were used to define antigenic determinants on muscle AChR and to elucidate their effect on muscle AChR functions. Primary chick muscle cultures were used as a...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880060410
更新日期:1983-05-01 00:00:00