Muhammad Furrukh, Saeed Bin Ayaz, Fatima Ayaz.
Pharyngeal-cervical-brachial variant: an unusual presentation of guillain-barre syndrome.
Khyber Med Uni Med J Jan ;11(1):45-7.

Pharyngeal-cervical-brachial (PCB) variant is a rare presentation of Guillain-Barre syndrome (GBS), which is symbolized by oroparhyngeal, cervical and upper limb weakness. It is often wrongly diagnosed as brainstem stroke, myasthenia gravis or botulism. The presence of anti-GT1a and anti-GQ1b ganglioside IgG antibodies and axonal electrophysiological pattern are the hallmark of PCB variant. The treatment is similar to any other variant of GBS. We present here, report of a 20-year-old male, who presented with findings suggestive of PCB variant of GBS but had absent anti-GT1a and anti-GQ1b antibodies and a normal cerebrospinal fluid. He made a remarkable recovery after administration of intravenous immunoglobulins.

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