PHARYNGEAL-CERVICAL-BRACHIAL VARIANT: AN UNUSUAL PRESENTATION OF GUILLAIN-BARRÉ SYNDROME

oleh: Muhammad Furrukh, Saeed Bin Ayaz, Fatima Ayaz

Format: Article
Diterbitkan: Khyber Medical University 2019-03-01

Deskripsi

Pharyngeal-cervical-brachial (PCB) variant is a rare presentation of Guillain–Barré syndrome (GBS), which is symbolized by oroparhyngeal, cervical and upper limb weakness. It is often wrongly diagnosed as brainstem stroke, myasthenia gravis or botulism. The presence of anti-GT1a and anti-GQ1b ganglioside IgG antibodies and axonal electrophysiological pattern are the hallmark of PCB variant. The treatment is similar to any other variant of GBS. We present here, report of a 20-year-old male, who presented with findings suggestive of PCB variant of GBS but had absent anti-GT1a and anti-GQ1b antibodies and a normal cerebrospinal fluid. He made a remarkable recovery after administration of intravenous immunoglobulins.