A Case of Acute Pure Sensory Guillian – Barr Syndrome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Sensory Guillian – Barr syndrome (GBS) is an acute neuropathy that involves sensory peripheral nerves. As very few such cases have been reported till date, its clinical, neurophysiological and pathological features are still not well described and there is no consensus to consider acute sensory ataxic neuropathy (ASAN) as a variant of GBS. This study reports a 50 year old female with acute onset difficulty in walking preceeded by fever, without any motor weakness and with a sensory level over the thoracic region with positive romberg sign. Nerve coduction studies (NCSs) were suggestive of decreased sensory nerve action potential( SNAPs) in bilateral median and superficial peroneal nerves and CSF study was suggestive of albumino cytological dissociation. MRI cervico dorsal lumbar spine with contrast was not suggestive of compressive or non compressive myelopathy. Patient was then given IV immunoglobulin and had satisfactory improvement.
Authors and Affiliations
Dr G S Bhatia,, Dr Neha Agarwal, Dr Isha Gupta
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