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A novel phenotype Of Zika virus‐related neurological disease: Sensory neuronopathy

Zika virus (ZIKV) infection has become a major health problem in Latin America in the past few years. Peripheral nervous system involvement is one of the major complications related to this arbovirus. This was particularly highlighted after the outbreaks of Guillain-Barre syndrome (GBS) in French Polynesia and Latin America soon after ZIKV epidemics. Most reported patients had a rather typical GBS presentation with rapidly ascending paralysis, diffuse areflexia, and facial diplegia. Recently, atypical phenotypes have been also reported, including Miller-Fisher syndrome (MFS) and small-fiber neuropathy. We now report a Brazilian patient with typical clinical and electrophysiological findings of a sensory neuronopathy (SN) that developed weeks after ZIKV infection. This description broadens the clinical profile of ZIKV-related neurological disease.