{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:15:05Z","timestamp":1783937705792,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T00:00:00Z","timestamp":1497830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:italic>Introduction<\/jats:italic>: This study describes clinical, laboratory, and electrodiagnostic features of a severe acute axonal polyneuropathy common to patients with acute nutritional deficiency in the setting of alcoholism, bariatric surgery (BS), or anorexia. <jats:italic>Methods<\/jats:italic>: Retrospective analysis of clinical, electrodiagnostic, and laboratory data of patients with acute axonal neuropathy. <jats:italic>Results<\/jats:italic>: Thirteen patients were identified with a severe, painful, sensory or sensorimotor axonal polyneuropathy that developed over 2\u201312 weeks with sensory ataxia, areflexia, variable muscle weakness, poor nutritional status, and weight loss, often with prolonged vomiting and normal cerebrospinal fluid protein. Vitamin B6 was low in half and thiamine was low in all patients when obtained before supplementation. Patients improved with weight gain and vitamin supplementation, with motor greater than sensory recovery. <jats:italic>Discussion<\/jats:italic>: We suggest that acute or subacute axonal neuropathy in patients with weight loss or vomiting associated with alcohol abuse, BS, or dietary deficiency is one syndrome, caused by micronutrient deficiencies. <jats:italic>Muscle Nerve<\/jats:italic> <jats:bold>57<\/jats:bold>: 33\u201339, 2018<\/jats:p>","DOI":"10.1002\/mus.25702","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T01:02:40Z","timestamp":1495846960000},"page":"33-39","source":"Crossref","is-referenced-by-count":48,"title":["Acute nutritional axonal neuropathy"],"prefix":"10.1002","volume":"57","author":[{"given":"Johanna","family":"Hamel","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center 601 Elmwood Avenue, Rochester New York 14642 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric L.","family":"Logigian","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center 601 Elmwood Avenue, Rochester New York 14642 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.55.10.1329"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.2010.22.4.451.e16"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000262768.40174.33"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.3.357"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2008.02.022"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.48.10.1015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/109.6.1115"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410390105"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0000000000000049"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001343"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.9299"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000256812.29648.86"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-nutr-071812-161225"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2014.03.025"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(07)70104-7"},{"key":"e_1_2_6_17_1","first-page":"1899","volume-title":"Peripheral neuropathy","author":"Victor M","year":"1984"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2011.03602.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114565245"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2006.01531.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.10550"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000142038.43946.06"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-409"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089202321088093"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21946"},{"key":"e_1_2_6_26_1","unstructured":"Joint FAO\/WHO Expert Consultation on Human Vitamin and Mineral Requirements(1998: Bangkok Thailand). 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