Sensory Guillain-Barre syndrome presenting as `Burning Feet Syndrome’: A case report
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The existence of purely sensory Guillain.Barre syndrome (GBS) is controversial, although diagnostic criteria have been established and several cases have been reported. Motor nerve conduction studies (NCS) have found that most GBS cases present with some motor weakness or abnormality, and seem to be predominantly sensory rather than purely sensory types. A 12-year-old girl presented at our hospital with acute onset, severe stabbing pains in both feet. Clinical and electrophysiological studies revealed normal motor nerve functions but decreased or absent sensory nerve action potentials. Cerebro-Spinal Fuild (CSF) examinations demonstrated albuminocytologic dissociation. Following intravenous gammaglobulins and high dose methylprednisolone, she experienced gradual pain reduction and recovery to near normal status. We here describe this rare case of purely sensory GBS presenting with burning feet syndrome.
Abstract
The existence of purely sensory Guillain.Barre syndrome (GBS) is controversial, although diagnostic criteria have been established and several cases have been reported. Motor nerve conduction studies (NCS) have found that most GBS cases present with some motor weakness or abnormality, and seem to be predominantly sensory rather than purely sensory types. A 12-year-old girl presented at our hospital with acute onset, severe stabbing pains in both feet. Clinical and electrophysiological studies revealed normal motor nerve functions but decreased or absent sensory nerve action potentials. Cerebro-Spinal Fuild (CSF) examinations demonstrated albuminocytologic dissociation. Following intravenous gammaglobulins and high dose methylprednisolone, she experienced gradual pain reduction and recovery to near normal status. We here describe this rare case of purely sensory GBS presenting with burning feet syndrome.
참고문헌 (11)
- Asbury AK, "Diagnostic considerations in Guillain-Barré syndrome", Ann Neurol, (9 Suppl), pp.S1~S5 (1981)
- Hughes RA, "Guillain-Barré syndrome", Lancet, 366, pp.1653~1666 (2005)
- Miralles F, "Pure sensory Guillain-Barré syndrome", J Neurol Neurosurg Psychiatry, 55, pp.411~412 (1992)
- Oh SJ, "Sensory Guillain-Barré syndrome", Neurology, 56, pp.82~86 (2001)
- Lee, SS, "Does sensory Guillain-Barré syndrome exist without any abnormalities in motor nerve conduction?", Neurology, 66, pp.947~948 (2006)
- Uncini A, "Sensory Guillain-Barré syndrome and related disorders : an attempt at systematization", Muscle Nerve, 45, pp.464~470 (2012)
- 고태성, "소아 길랑-바레 증후군의 전기 생리학적 분류에 따른 예후", 대한소아신경학회지, 18(1), pp.91~99 (2010), 대한소아신경학회
- Asbury AK, "New concepts of Guillain-Barré syndrome", J Child Neurol, 15, pp.183~191 (2000)
- Levin, KH, "Variants and mimics of Guillain Barré Syndrome", Neurologist, 10, pp.61~74 (2004)
- Winer JB, "Guillain-Barré syndrome : clinical variants and their pathogenesis", J Neuroimmunol, 231, pp.70~72 (2011)
- Windebank AJ, "The syndrome of acute sensory neuropathy : clinical features and electrophysiologic and pathologic changes", Neurology, 40, pp.584~591 (1990)