J Korean Child Neurol Soc.  2014 Mar;22(1):20-24.

Sensory Guillain-Barre syndrome presenting as 'Burning Feet Syndrome': A case report

• Kim SB
• Yum MS
• Choi HW
• Kim EH
• Ko TS

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.

Keyword

Guillain-Barre syndrome; Sensory; Acute sensory neuropathy

MeSH Terms

Action Potentials
Burns
Child
Female
Foot*
Guillain-Barre Syndrome*
Humans
Methylprednisolone
Neural Conduction
Methylprednisolone