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Journal of Child Neurology
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*Guillain-Barre Syndrome
*Swallowing Disorders
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Pharyngeal-Cervical-Brachial Variant Guillain-Barre Syndrome in a Child

Suzanna C. MacLennan, MBBS Hons

Department of Neurology Sydney Children's Hospital Sydney, Australia

Michael C. Fahey, MBBS Hons

Department of Neurology Sydney Children's Hospital Sydney, Australia

John A. Lawson, BMed, FRACP, PhD

Department of Neurology Sydney Children's Hospital Sydney, Australia

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. (J Child Neurol 2004;19:626-627).

Journal of Child Neurology, Vol. 19, No. 8, 626-627 (2004)
DOI: 10.1177/088307380401900812
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