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KMID : 0860920140160020085
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2014 Volume.16 No. 2 p.85 ~ p.88
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Guillain-Barre Syndrome Sensory Variant Mimicking Diabetic Peripheral Neuropathy - A Case Report -
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Choi Hye-Jung
Lee Joong-Hoon
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Abstract
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Sensory variant of Guillain-Barre syndrome is characterized by acute onset, rapidly progressive, and symmetrical sensory deficit without motor weakness. Electrodiagnostic examination is also compatible with a predominant sensory neuropathy. We experienced a rare case of sensory variant of Guillain-Barre syndrome presenting similar clinical features of diabetic peripheral neuropathy (DPN). This case described a 74-year-old female with diabetes mellitus (DM) who presented with paresthesia on both hands and feet. Physical examination showed areflexia, impaired proprioception, sensory loss on both hands and feet, and ataxia. Electrodiagnostic examination revealed axonal type sensory neuropathy. In addition, cerebrospinal fluid study showed protein elevation. She received intravenous immunoglobulin therapy as a treatment of
sensory variant of Guillain-Barre syndrome and symptoms improved dramatically thereafter. The possibility of sensory variant of Guillain-Barre syndrome should be considered as the differential diagnosis of DPN if DM patient has ataxia, areflexia, impaired proprioception and prompt immunoglobulin therapy should also be considered.
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KEYWORD
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sensory variant of Guillain-Barre syndrome, pure sensory neuropathy, acute sensory ataxic neuropathy
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