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OLGU SUNUMLARI

Bariatrik Cerrahi Sonrası Gelişen Düşük Ayak: Olgu Sunumu
Foot Drop Following Bariatric Surgery: A Case Report
Received Date : 25 Nov 2024
Accepted Date : 20 Jan 2025
Available Online : 29 Jan 2025
Doi: 10.31609/jpmrs.2024-106992 - Makale Dili: EN
Turkiye Klinikleri Journal of Physical Medicine and Rehabilitation Sciences. 2025;?28(2):191-4.
ÖZET
Bu olgu sunumunun amacı, bariatrik cerrahi sonrası peroneal nöropati olgusunu sunmak ve literatürü gözden geçirmektir. Obezite nedeniyle bariatrik cerrahi geçiren hastada, operasyondan yaklaşık 7 ay sonra sağ ayağında nöropatik şikâyetler gelişmişti. Birkaç gün sonrasında güçsüzlük nedeniyle polikliniğimize başvurmuştu. Operasyondan sonra 30 kilo verdiği öğrenildi. Fizik muayenede peroneal nöropati düşünüldü ve istenen elektromiyografi incelemesinde fibula başında peroneal tuzaklanma tespit edildi. Hasta fizik tedavi ve rehabilitasyon programına alındı. Hastanın şikâyetleri azaldı ve kas gücü normale döndü. Bariatrik cerrahi sonrası optimal beslenme bakımı yapılmalı ve kontrollü kilo kaybı sağlanmalıdır. Nörolojik komplikasyonlar gelişirse uygun tedavi başlanmalıdır.
ABSTRACT
The aim of this case report is to present a case of peroneal neuropathy after bariatric surgery and review the literature. The patient, who underwent bariatric surgery due to obesity, developed neuropathic complaints in his right foot approximately 7 months after the operation. A few days later, he applied to our out-patient clinic because of weakness. It was learned that she lost 30 kg after the operation. Peroneal neuropathy was considered in the physical examination, and peroneal entrapment was detected in the fibular head in the requested electromyography examination. The patient was included in the physical therapy and rehabilitation program. The patient's complaints decreased and muscle strength returned to the normal level. After bariatric surgery, optimal nutritional care should be taken and controlled weight loss should be ensured. If neurological complications develop, appropriate treatment should be initiated.
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