Abstract
This case report describes a successfully managed rare variant of Guillain-Barre´ Syndrome (GBS), the pharyngeal-cervical-brachial (PCB) variant, in a 5-year-old child which is characterized by the involvement of oropharyngeal, neck and upper limb muscles, without disturbed consciousness or ataxia. Since early treatment and supportive care yield successful outcome, it is important for the treating physician to be familiar with other diseases that mimic the disease and variants for prompt and accurate diagnosis.
Highlights
Guillain-Barre Syndrome is recognized as one of the commonest causes of acute flaccid paralysis in children.[1]
Nerve conduction study (NCS) and the CT brain with brain stem done on day 5 of the illness revealed normal findings
PCB variant of Guillain-Barre Syndrome (GBS), acute demyelinating encephalomyelitis and brainstem stroke were considered as main differential diagnoses. She was started on IV immunoglobulin (IG) 2mg/kg for 5 days in the ICU following a clinical diagnosis of a Guillain Barre variant
Summary
Guillain-Barre Syndrome is recognized as one of the commonest causes of acute flaccid paralysis in children.[1]. Blood pressure was 92/60 mmHg. Respiratory rate was 28/min, with equal bilateral chest movements.
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