Pharyngeal-cervical-brachial variant Guillain-Barré syndrome in a child.
Autor(es): MacLennan Suzanna C.; Fahey Michael C.; Lawson John A.
Resumo: 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 differential diagnosis of a child presenting with bulbar palsy and/or respiratory failure.
Imprenta: Journal of Child Neurology, v. 19, n. 8, p. 626-627, 2004
Identificador do objeto digital: 10.1177/088307380401900812
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2004
