Journal article

Pharyngeal-cervical-brachial variant Guillain-Barre syndrome in a child

SC MacLennan, MC Fahey, JA Lawson

JOURNAL OF CHILD NEUROLOGY | SAGE PUBLICATIONS INC | Published : 2004

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 differentia..

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