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Case Report

Pharyngeal-Cervical-Brachial Variant of Guillain Barre Syndrome

Yashif N A, Post Graduate trainee, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, Delhi 110088, India. , Yashif N A1 , Kishalay Datta2 , Priya Govil3 , Shebin Althaf4

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Indian Journal of Emergency Medicine 9(1):p 33-35, January-March 2022. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.9123.4

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Yashif N A, Kishalay Datta, Priya Govil, et al./Pharyngeal-Cervical-Brachial Variant of Guillain Barre Syndrome/Indian J Emerg Med 2023;9(1):33–35.

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Abstract

Guillain-Barre Syndrome (GBS) usually present as1 symmetrical ascending muscle weakness associated with areflexia and flaccidity with or without sensory symptoms. However,2 in some patients it may present atypically and one of the rare variant is Pharyngeal-cervical-brachial variant, usually presented as muscle weakness extending from cervical area to the upper extremities often affected with proximal muscle groups. A 20-year-old male presented in ER with complaints of weakness over bilateral upper limb, dysphagia and difficulty in speaking followed by quadriparesis and breathing difficulty. Diagnosis of PCB variant was made by CSF and nerve conduction study and all other possible differentials were excluded. The patient improved by administration of iv immunoglobulin and other supportive measures. Physician should think about PCB variant of GBS, whenever a patient presenting with symmetrical upper limb weakness and bulbar palsy.

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Yashif N A, Kishalay Datta, Priya Govil, et al./Pharyngeal-Cervical-Brachial Variant of Guillain Barre Syndrome/Indian J Emerg Med 2023;9(1):33–35.

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.9123.4

Keywords

Guillain barre syndrome; Pharyngeal-cervical-brachial variant; Atypical presentation.

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