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Case Report

Pharyngeal-Cervical-Brachial Variant of Guillain Barre Syndrome

Yashif N A, Kishalay Datta, Priya Govil, Shebin Althaf

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Indian Journal of Emergency Medicine 9(1):p 33-35, January-March 2023. | DOI: https://doi.org/10.21088/ijem.2395.311X.9123.4

How Cite This Article:

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.

Timeline

Received : October 20, 2022         Accepted : November 25, 2022          Published : March 30, 2023

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.

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

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.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
October 20, 2022 November 25, 2022 March 30, 2023
DOI: https://doi.org/10.21088/ijem.2395.311X.9123.4

Keywords

Guillain barre syndromePharyngeal-cervical-brachial variantAtypical presentation

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Timeline

Received October 20, 2022
Accepted November 25, 2022
Published March 30, 2023

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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