Poster Presentation ANZOS Annual Scientific Meeting 2021

Less panna cotta not always the panacea: a case of thiamine deficiency post sleeve gastrectomy causing long-term neuropathy in a young male (#207)

Alexander WH Cuthill 1
  1. Hunter New England Health, New Lambton, NEW SOUTH WALES, Australia

Abstract: A case of a 20 year old male with opthalmoplegia, nystagmus, distal weakness and ataxia 10 weeks after sleeve gastrectomy for weight loss. Nerve conduction studies revealed axonal sensory motor neuropathy consistent with vitamin B1 (thiamine) deficiency. His condition improved with IV thiamine replacement however ataxia persisted. One year later, at the age of 21, gait disturbance remained and he was using Dictus bands to assist with persisting foot drop. The case highlights the important of adequate nutritional investigation and supplementation both before and after sleeve gastrectomy.