Severe painful lower limbs and refusal of the leg reliance as atypical presentation of Gullain–Barre syndrome

Abstract

Introduction Guillain–Barre syndrome (GBS) is the most common cause of acute flaccid paralysis in healthy infants and children. Acute motor axonal neuropathy (AMAN) is a type of GBS characterized by motor syndrome with no sensory symptoms.

Case outline Authors describe a six-and-a-half year old girl with atypical clinical presentation of AMAN with severe painful lower limbs and refusal of the leg reliance with typical findings on nerves conduction studies.

Conclusion Despite the nerve conduction study findings, atypical forms of AMAN and GBS are possible. Pain symptoms must be taken very seriously and treated careful by the clinicians.

Keywords: Guillain–Barre syndrome; acute motor axonal neuropathy; atypical presentation