When Guillain-Barre syndrome took a wrong path


  • Supriya K. Gowda Department of Paediatrics, Mysore Medical College, Mysore, Karnataka, India
  • Prashanth S. Department of Paediatrics, Mysore Medical College, Mysore, Karnataka, India
  • Savitha M. R. Department of Paediatrics, Mysore Medical College, Mysore, Karnataka, India




Pharyngeal cervical brachial variant, Axonal neuropathy, Symmetric descending paralysis


The pharyngeal cervical brachial (PCB) variant of Guillain-Barre-syndrome (GBS) is defined by rapidly progressive oropharyngeal and cervicobrachial weakness associated with areflexia in upper limbs. On nerve conduction study PCB represents a localized subtype of GBS characterized by axonal rather than demyelinating neuropathy. PCB is often misdiagnosed as brainstem stroke, myasthenia gravis or botulism. Herein we describe a case of symmetric descending type of acute flaccid paralysis with predominant upper limb involvement and also lower limb involvement diagnosed as a PCB- GBS overlap mainly based on nerve conduction study.


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Case Reports