Pharyngeal cervical brachial variant of guillain barre syndrome requiring prolonged ventilatory support

ABSTRACT

Patients with pharyngeal cervical brachial [PCB] variant of Guillain Barre Syndrome [GBS] typically present with rapid progression of oropharyngeal and cervicobrachial weakness. We report case of a 25 year old male soldier suffering from PCB who presented with brachiopharyngeal weakness which progressed to involve his lower limbs. He was intubated and mechanically ventilated and was treated with plasmapheresis. He made good recovery after remaining on ventilatory support for a long time. His electromyography and nerve conduction studies [EMG/NCS] were consistent with axonal polyneuropathy