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    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 7; Issue 2</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Mar-Apr, 2026)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Case Report of Common Fibular Neuropathy After Hand Surgery in A Patient With GLP__ampersandsign#8209;1__ampersandsignndash;Associated Weight Loss</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>6</LastPage>
      <AuthorList>
        <Author>
          <FirstName>James</FirstName>
          <LastName>Chen</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Christopher J.</FirstName>
          <LastName>Klein</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>We present a 40-year-old woman who developed new bilateral foot drop (right greater than left) one day after right-hand ganglion cyst excision. During her preoperative examination two weeks prior to surgery, she reported no lower extremity neurologic dysfunction. Through a fifteen month course of semaglutide treatment and concerted diet and exercise, she lost 28 kg (original weight 91 kg), reducing her body mass index (BMI in kg/m2) from 35.2 to 24.3. Electrodiagnostic testing performed approximately one month postoperatively confirmed bilateral common fibular neuropathy (CFN) localized to the fibular head. The etiology for neuropathy is likely multifactorial, including reduced protective adipose tissue from rapid weight loss, perioperative positioning-related compression or traction, and possible subclinical vitamin B12 deficiency.&#13;
&#13;
This case highlights a potential association between GLP-1 receptor agonist__ampersandsignndash;associated weight loss and increased susceptibility to perioperative CFN. With rising use of these medications, heightened awareness and perioperative risk assessment may be warranted.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords/>
      <URLs>
        <Abstract>https://www.jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=16212&amp;title=Case Report of Common Fibular Neuropathy After Hand Surgery in A Patient With GLP__ampersandsign#8209;1__ampersandsignndash;Associated Weight Loss</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>Cucu LE, Popescu G, Maand;#537;taleru A, Ignat EB, Grosu C, Band;icirc;rsanu L, Leon MM. Common Peroneal Nerve Paralysis Following Rapid Weight Loss-A Case Report and Literature Review. Nutrients 2025; 17: 1782.&#13;
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Goizueta-San-Martand;iacute;n G, Pand;eacute;rez-Moro O, Diez-Ramos MF, Fernand;aacute;ndez-Cuadro M, Gand;aacute;lvez-Rabadand;aacute; A, Llopis-Mirand;oacute; R. Nerve compresion secondary to weight loss. Int J Neurorehabilitation 2016; 3: 2376-0281.&#13;
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Kim RO, Lee EJ, Ahn MY, Roh H. Polyneuropathy After Rapid and Massive Weight Loss. J Clin Neurol 2023; 19: 204-206.&#13;
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Scott Butsch W, Sulo S, Chang AT, Kim JA, Kerr KW, Williams DR, Hegazi R, Panchalingam T, Goates S, Heymsfield SB. Nutritional deficiencies and muscle loss in adults with type 2 diabetes using GLP-1 receptor agonists: A retrospective observational study. Obes Pillars 2025; 15: 100186.&#13;
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Sotaniemi KA. Slimmerand;#39;s paralysis--peroneal neuropathy during weight reduction. J Neurol Neurosurg Psychiatry 1984; 47: 564-566.&#13;
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Triplett JD, Pinto MV, Young NP, Staff NP, Chinmay MS, Horowitz M, Aragon Pinto C, Laughlin RS, Shouman K, Berini SE, Mauermann ML, Dubey D, Mandrekar J, Dyck PJB, Klein CJ. GLP-1RA-Associated Diabetic Lumbosacral Radiculoplexus and Common Fibular Neuropathies: A Case-Control Evaluation. Neurology 2025; 105: e213916.&#13;
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Tucker JM, Ritchie J. The Tirzepatide Drop: Beware of Slimmerand;#39;s Paralysis. J Investig Med High Impact Case Rep 2024; 12: 23247096241264635.</References>
      </References>
    </Journal>
  </Article>
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