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Published on: November 9, 2017
[Pharyngeal-cervical-brachial variant of Guillain-Barré syndrome]
Iago Pinal-Fernández1, Vanesa Garrigasait Vilaseca, Andreu Fernández-Codina
1Servicio de Medicina Interna, Hospital Universitario Vall d'Hebron, Barcelona, España.
Abstract:
Guillain-Barré syndrome is an acute inflammatory demyelinating polyneuropathy. Infrequent loco-regional variants, like the pharyngeal-cervical-brachial, have been described. We report the case of a 63-year-old male admitted to the emergency department with cervical and upper limb weakness, inability to swallow and chew, he also presented a rapidly progressive acute respiratory failure due to weakness of the respiratory muscles secondary to the pharyngeal-cervical-brachial variant of Guillain-Barré syndrome. This variant, although unusual, presents a well-defined clinical pattern and diagnostic criteria, which is important in order to start an early treatment to improve the prognosis, not always favorable, to these patients.
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