Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Child Neurology
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
0883073809332695v1
24/7/865    most recent
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Thapa, R.
Right arrow Articles by Mukherjee, S.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thapa, R.
Right arrow Articles by Mukherjee, S.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Pharyngeal-Cervical-Brachial Variant of Pediatric Guillain-Barré Syndrome With Antecedent Acute Hepatitis A Virus Infection

Rajoo Thapa, MD

Department of Pediatrics, The Institute of Child Health, Kolkata, West Bengal, India, rajoothapa{at}yahoo.co.in

Biawajit Biswas, MD

Department of Pediatrics, The Institute of Child Health, Kolkata, West Bengal, India

Debkrishna Mallick, MD

Department of Pediatrics, The Institute of Child Health, Kolkata, West Bengal, India

Swapan Mukherjee, MD, DM

Department of Pediatrics, The Institute of Child Health, Kolkata, West Bengal, India

Pharyngeal-cervical-brachial weakness is considered a variant of Guillain-Barré syndrome with limited oropharyngeal, neck, and upper limb muscle involvement. The authors report on a 7-year-old boy, who developed pharyngeal-cervical-brachial type of Guillain-Barré syndrome following an antecedent episode of acute hepatitis A virus infection, 2 weeks prior to admission. The presentation was characterized by acute onset dysphagia, loss of head control, and bilateral arm weakness. The diagnosis was confirmed by acute motor axonal changes in the arm and albuminocytologic dissociation of the cerebrospinal fluid. The child was treated with intravenous immunoglobulin, which resulted in gradual improvement over 3 weeks. Documented instances of this form of Guillain-Barré syndrome remain rare in the pediatric age group, with none existing following antecedent hepatitis A virus infection. The authors emphasize that acute hepatitis A virus infection be included in the triggers responsible for Guillain-Barré syndrome in children.

Key Words: pharyngeal-cervical-brachial weakness • GuillainBarré syndrome • hepatitis A virus infection • children

This version was published on July 1, 2009

Journal of Child Neurology, Vol. 24, No. 7, 865-867 (2009)
DOI: 10.1177/0883073809332695
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?