A 45-year-old woman presented with complaints of progressive muscle weakness and numbness along with a tingling sensation in her lower extremities. This later progressed to her upper extremities, six weeks post a complex surgery. Medical history The patient had a history of hypertension and morbid obesity for which she had undergone a sleeve gastrectomy, three months before the presentation. Past complaints The patient's symptoms began after a few days of recurrent emesis of unknown cause. This was followed by worsening episodes of inattention, disorientation, and staring spells.
After a few days of surgery, she was complaining of an absence of reflexes with a decreased muscle tone. CSF analysis revealed an albuminocytologic dissociation. Nerve conduction and electromyography revealed a major abnormality which confirmed the diagnosis for the case. Brain MRI: The scan suggested the…
