Delayed Onset of Ataxia in a Patient with Short Bowel Syndrome: A Case of Vitamin E Deficiency

Abstract

Chronic gastrointestinal disease can result in nutritional deficiencies that can have a direct effect on the neurologic system. Although acute abnormalities can be corrected, symptoms are rarely reversible. Recognizing the appropriate abnormality is a crucial part of long-term treatment strategies in this population. Because motor and cerebellar symptoms can contribute to poor feeding, aggressive supplementation should begin as soon as symptoms are recognized. We present a patient with delayed onset and progressive hypovitaminosis E and briefly review diagnostic and therapeutic options.

Keywords:

• Short bowel syndrome
• Crohn's disease
• Vitamin E
• Ataxia
• Neuropathy