Guillain-Barré Syndrome: Inverted Paralysis Post-Operatively in a Patient With Ulcerative Colitis

Rapidly progressive and life-threatening, the pharyngeal-cervical-brachial (PCB) variant of Guillain-Barré syndrome (GBS) poses a unique perspective on the complications that may arise post-operatively, especially in patients with an underlying autoimmune disease like ulcerative colitis. GBS is an immune-mediated polyneuropathy typically consisting of ascending flaccid muscle paralysis and areflexia. There are several variants of GBS, which can present atypically and be misdiagnosed. We intend to focus on PCB, a rare, localized variant of GBS. Herein, we report an uncommon case of a recent post-surgical patient, with underlying ulcerative colitis, who developed the PCB variant of GBS.