Another Variant Of Guillain-Barré Syndrome?

Journal of Neurology, Neurosurgery, & Psychiatry (JNNP Online)

By Anne MacLennan

Acute small fibre sensory neuropathy should possibly be included in the heterogeneous range of Guillain-Barré syndrome.

Six patients with this condition were examined by U Seneviratne and S Gunasekera from Ratnapura General Hospital, Ratnapura, and the Institute of Neurology, National Hospital of Sri Lanka, Colombo, Sri Lanka.

All of the patients underwent detailed clinical assessment, as well as electrophysiological tests and other relevant laboratory investigations. They were found to have acute onset numbness, reaching peak deficit within four weeks; four had associated burning dysaesthesia. Four of the patients reported an antecedent illness, diarrhoea in three cases and urinary tract infection in one.

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