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BMC Neurology
Published in: BMC Neurology 1/2022

Open Access 01-12-2022 | Guillain-Barré Syndrome | Case report

Recurrent Guillain-Barré syndrome presenting as pharyngeal-cervical-brachial variant with three species of ganglioside antibodies:case report

Authors: Haihui Luan, Peng Zhang, Mingqing Zhen, Mei Li, Xiaowei Wang, Jianghua Xu

Published in: BMC Neurology | Issue 1/2022

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Abstract

Background

Guillain-Barré syndrome (GBS) is generally considered to be monophasic, and recurrent GBS (RGBS) is very rare. Pharyngeal-cervical-brachial (PCB) is a less common variant of GBS. There have been no cases reported describing RGBS showing different phenotype presenting as PCB variant with three species of ganglioside antibodies.

Case presentation

 We report a case of a 77-year-old female patient with GT1a, GD1a and sulfatide-seropositive PCB-GBS after prior episode of AMAN-GBS 13 years ago. Our patient showed oropharyngeal and cervicobrachial weakness associated with areflexia in the upper limbs and partially improved after 5 days of IVIG and physiotherapy.

Conclusion

This study reports a rare case characterized as recurrent GBS after a long period, showing different phenotypes in different episodes with three different species of ganglioside antibodies. Further studies are required to obtain better understanding of RGBS and PCB variant.
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Metadata
Title
Recurrent Guillain-Barré syndrome presenting as pharyngeal-cervical-brachial variant with three species of ganglioside antibodies:case report
Authors
Haihui Luan
Peng Zhang
Mingqing Zhen
Mei Li
Xiaowei Wang
Jianghua Xu
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-022-02955-0

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