Multiple sclerosis following bariatric surgery: A report of five cases

Foziah Alshamrani, Leenah Turkistani, Nourah AlAmri, Anwar AlZahrani, Abdulla Alsulaiman, Fahad AlKhamis, Majed AlAbdali, Danah AlJaafari, Aisha AlBaker, Abdullah AlAmri


Multiple sclerosis (MS) is a debilitating chronic inflammatory demyelinating disease that affects the central nervous system. The underlying cause of multiple sclerosis is unknown, yet there are various predisposing factors. Currently, bariatric surgery is an increasingly common solution for obesity. It has been reported that bariatric procedures result in miscellaneous neurological complications. To the best of our knowledge, this is the first case series to report the occurrence of MS following bariatric surgery. Here we report the cases of five patients who were recruited for inclusion following neurological examination, complete cerebrospinal fluid (CSF) study, enhanced cranial as well as spinal cord magnetic resonance (MR) images. Diagnosis of multiple sclerosis was made based on McDonalds criteria (2010). All cases were diagnosed with relapsing-remitting form of multiple sclerosis (RRMS) after various types of bariatric surgeries.
Full Text: PDF