External popliteous sciatic nerve injury as a rare complication post-bariatric surgery. To Purpose of a clinical case

Abstract

Peripheral Neuropathies are a fairly frequent reason for consultation both in the hospital and primary health care settings. This pathology is quite heterogeneous from the point of view of its origin and its clinical presentation, so a systematic diagnostic approach through a correct clinical history, an adequate physical examination and the appropriate use of imaging studies and other diagnostic tests, will allow in most cases to make an appropriate diagnosis. External popliteal sciatic palsy (EPS) is a rare neurological condition characterized by weakness or paralysis of the external popliteal sciatic muscle and loss of skin sensation in the area of innervation of the nerve. This condition can be caused by various pathologies, including traumatic injuries, nerve compression, and neurological diseases. Associated with bariatric surgery, these injuries are mostly related to loss of the fat pad that surrounds the head of the fibula, which produces this “weight loss paralysis,” especially if the weight loss occurs suddenly. Treatment for CPE depends on the underlying cause and may include physical therapy, medications, and, in severe cases, surgery. In this article, we review the available literature on CPE following Bariatric Surgery to provide clinical guidance and help healthcare professionals correctly diagnose and treat this condition.