Louise Azevedo Lobo- Lopes
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Sebastião Eurico de Melo- Souza
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Vicente Mamede de Arruda Filho
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Marco Aurélio Fraga Borges
Copper is an essential enzymatic cofactor in many stages of normal functioning of human body, acting mainly in hematological, vascular and neurological functions. Its deficiency is linked to some conditions as highly isolated oral zinc intake, parenteral nutrition and after bariatric surgery. Neurological symptoms due copper deficiency include gait abnormalities, sensitive ataxia and sensitive neuropathic symptoms. We present a case of copper deficiency myelopathy after bariatric surgery. Copper deficiency myelopathy is poorly diagnosed, being imperative the early recognition of the condition aiming better outcomes and neurological recovery.