Differential Diagnosis for Acute Sensory Motor Neuropathy in Children
Single Most Likely Diagnosis
- Guillain-Barré Syndrome (GBS): This is the most common cause of acute flaccid paralysis in children, characterized by rapid onset of muscle weakness, areflexia, and variable sensory involvement. It often follows a viral infection or vaccination.
Other Likely Diagnoses
- Acute Inflammatory Demyelinating Polyneuropathy (AIDP): Similar to GBS, AIDP involves demyelination of the peripheral nerves, leading to sensory and motor symptoms. It's a common variant of GBS.
- Miller Fisher Syndrome: A rare variant of GBS, characterized by ophthalmoplegia, ataxia, and areflexia, often with minimal limb weakness.
- Toxic Neuropathy: Exposure to certain toxins (e.g., heavy metals, pesticides) can cause acute sensory motor neuropathy in children.
Do Not Miss Diagnoses
- Botulism: A potentially life-threatening condition caused by the toxin produced by Clostridium botulinum, leading to descending flaccid paralysis. Early recognition is crucial for treatment.
- Spinal Cord Compression: Acute compression of the spinal cord can present with rapid onset of sensory and motor deficits. Prompt diagnosis and intervention are necessary to prevent permanent damage.
- Tick Paralysis: A rare condition caused by the neurotoxin produced by certain ticks, leading to ascending paralysis. Removal of the tick can lead to rapid improvement.
Rare Diagnoses
- Acute Porphyrias: A group of rare genetic disorders that can cause acute neuropathy, often with abdominal pain, psychiatric symptoms, and other systemic features.
- Vasculitic Neuropathy: Inflammation of the blood vessels supplying the nerves can cause acute sensory motor neuropathy, often associated with systemic vasculitis.
- Mitochondrial Neuropathies: Rare genetic disorders affecting the mitochondria, which can cause a variety of neuropathic symptoms, including acute sensory motor neuropathy.