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Korean Journal of Neuromuscular Disorders ; 14 : 38 - 41, December 2022 |
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A Case Report of Sensory Guillain-Barré Syndrome with Prominent Autonomic Dysfunction in a Systemic Lupus Erythematosus Patient |
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Yong Sung Kim, MD, Yong Sung Kim, MD, Young Seo Kim, MD, PhD |
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Department of Neurology, Hanyang University College of Medicine, Seoul, Korea |
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Sensory Guillain-Barré syndrome (GBS) is a rare heterogeneous
subgroup of GBS characterized by the primary involvement of sensory
neurons resulting in a distinctive clinical presentation. Sensory
GBS usually occurs with acute and monophasic sensory symptoms, and
no or minimal muscle weakness. Sensory GBS patient show hypo- or
areflexia, distal paresthesia, and normal cerebrospinal fluid
finding or albumino-cytologic dissociation which are suggesting
that these conditions are a GBS variant. Autonomic dysfunctions
have rarely been reported in sensory GBS patient presenting with
postural hypotension, abnormal heart rate response to respiration.
In this case, we demonstrate a patient with autonomic symptoms
dominant sensory GBS in systemic lupus erythematosus. |
KEYWORDS : Guillain-Barré syndrome, Ataxia, Dysautonomia |
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