Paradoxical movement of vocal cords in guillain – barre syndrome: Report a case and review of the literature.

This is a report of a 50 year-old Thai male who was admitted to Siriraj hospital because of progressive weakness of all extremities and increase shortness of breath. Endotracheal tube intubation was introduced for ventilatory support and secretion clearance. The diagnosis of Guillain-Barre syndrome was made based on typical presentation and CSF finding. The patient responsed well to intravenous immunoglobulin with successful extubation but developed upper airway obstruction from paradoxical movement of vocal cords which resolved in 5 days later. The review of the literature was done.