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Acquired copper deficiency has been recently recognized as a cause of myelopathy, and has been reported to occur many years after gastric bypass surgery performed to aid weight reduction in morbidly obese patients. We report a case of a young woman treated by hemodialysis who presented with acute neurological symptoms 5 months after gastric bypass surgery for severe obesity. She had symptoms and signs of cerebellar, spinal cord and peripheral nerve disease, which improved following parenteral copper supplementation. Now that gastric bypass surgery is being offered to morbidly obese hemodialysis patients, this case highlights the importance of monitoring copper levels in hemodialysis patients following gastric bypass surgery.

Type

Journal article

Journal

Clin Nephrol

Publication Date

11/2010

Volume

74

Pages

389 - 392

Keywords

Acute Disease, Adult, Ceruloplasmin, Copper, Dietary Supplements, Female, Gastric Bypass, Humans, Muscle Weakness, Nervous System Diseases, Nystagmus, Pathologic, Obesity, Morbid, Renal Dialysis, Treatment Outcome