An Unusual Cause of Vertigo Following Laparoscopic Sleeve Gastrectomy: A Case Report

Document Type : Case Report

Author

Departments of Clinical Medicine, College of Medicine, Almaarefa University, Surgery, Alhabib Medical Group, Altakhasusi Project, Riyadh, Saudi Arabia

10.21608/ejsur.2025.357961.1379

Abstract

Background: The laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed surgical procedures
for weight reduction with high success rate and few chronic complications. Ear complication following the procedure is
rarely encountered. Few reports have discussed the possible causes of vertigo following LSG which relayed mostly to
weight loss that affects the Eustachian tube and caused ear muscle disorganization and dysfunction. However, none of
them has reported Meniere’s disease as one of the possible causes.
Patients and Methods: We report a 38-year old man who complained of severe vertigo and tinnitus followed by loss of
consciousness 8 months following LSG. His haematochemical laboratory tests were within normal range. Full evaluation
and clearance were performed by different specialties including cardiology, neurology, endocrinology and psychiatry.
However, the ENT assessment revealed abnormalities in the Audiometry results that have confirmed Meniere’s disease.
Conclusion: Further reports are required to specify the exact correlation.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 3
July 2025
Pages 1120-1121

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