Pharyngeal-Cervical-Brachial Variant Guillain-Barre Syndrome in a Child
- 1 August 2004
- journal article
- case report
- Published by SAGE Publications in Journal of Child Neurology
- Vol. 19 (8), 626-627
- https://doi.org/10.1177/088307380401900812
Abstract
The pharyngeal-cervical-brachial variant of Guillain-Barré syndrome is uncommon but well recognized in the adult literature. Patients have weakness in a pharyngeal-cervical-brachial distribution with relative lower limb sparing. We describe a 12-year-old boy with predominantly pharyngeal-cervical-brachial weakness and subsequent respiratory failure. Owing to prominent bulbar symptoms, he was initially misdiagnosed as having epiglottitis. This case illustrates that the clinical spectrum of Guillain-Barré syndrome in children includes the pharyngeal-cervical-brachial variant, which is distinct from Miller-Fisher syndrome. Atypical Guillain-Barré syndrome should be considered in the differential diagnosis of a child presenting with bulbar palsy and/or respiratory failure. (J Child Neurol 2004;19:626-627).Keywords
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