A Rare Form of Guillan Barre Syndrome: A Child Diagnosed with Anti- GD1a and Anti-GD1b Positive Pharyngeal-Cervical-Brachial Variant

A Rare Form of Guillan Barre Syndrome: A Child Diagnosed with Anti- GD1a and Anti-GD1b Positive Pharyngeal-Cervical-Brachial Variant

Background: Pharyngeal-cervical-brachial (PCB) variant is a rare form of Guillan-Barre Syndrome (GBS). Antibodies against other membrane proteins like GM1b and GD1a have been found only in a small number of patients with Guillan Barre syndrome variant.Case Report: Here, we report a 5.5 year-old boy diagnosed early with positive GD1a and GD1b gangliosides of Guillan-Barre syndrome pharyngeal cervical-Brachial variant, who improved and recovered fully in a short period. This is in contrast to those whose recovery period prolongs in spite of early diagnosis and appropriate treatment and/or those who experience incomplete recovery.Conclusion: In summary, diagnosis of PCB variant of GBS should be considered in infants with sudden onset bulbar symptoms and muscle weakness, and it should be kept in mind that early diagnosis and appropriate treatment can give successful outcomes.

___

  • 1. Doom PA, Ruts L, CJacops B. Clinical features, pathogen¬esis, and treatment of Guillain-Barré syndrome. Lancet Neurol 2008;7:939-50. [CrossRef]
  • 2. Ropper AH. Unusual clinical variants and signs in Guillain-Barré syndrome. Neurological and neurosurgical intensive care. Lippincott Williams & Wilkins, 2004:278-97.
  • 3. Willison HJ, Yuki N. Peripheral neuropathies and anti-glycolipid antibodies. Brain 2002;125: 2591-625. [CrossRef]
  • 4. Arai M, Susuki K, Koga M. Axonal pharyngeal-cervical brachial variant of Guillain-Barré syndrome without anti-GT1a IgG antibody. Muscle Nerve 2003;28:246-50. [CrossRef]
  • 5. Winer JB. Gullian Barre syndrome: clinical variant and their pathogenesis. J Neuroimmunol 2011;231:70-2. [CrossRef]
  • 6. Mizoguchi K, Hase A, Obi T, Matsuoka H, Takamatsu M, Nishimura Y, et al. Two species of anti ganglioside antibodies in a patient with a pharyngeal-cervical-brachial variant of Guillain-Barre syndrome. J Neurol Neurosurg Psychiatry 1994;57:1121-3. [CrossRef]
  • 7. Delanoe C, Sebire G, Landrieu P, Huault G, Metral S. Acute inflammatory demyelinating polyradiculopathy in children: Clinical and electrodiagnostic studies. Ann Neurol 1998;44:350-6. [CrossRef]
  • 8. Nagashima T, Koga M, Odaka M, Hirata K, Yuki N. Continuous spectrum of pharyngeal-cervical-brachial variant of GuillainBarre syndrome. Arch Neurol 2007;64:1519-23. [CrossRef]
  • 9. Levin KHM. Variants and mimics of Guillain-Barré syndrome. Neurologist 2004;10:61-74. [CrossRef]
  • 10. Hergüner MO, Tepe T, Altunbaşak S, Baytok V. A rare form of Guillain-Barr ésyndrome: pharyngeal-cervical-brachialvariant. Turk J Pediatr 2008;50:91-3.
  • 11. McLennan SC, Fahey MC, Lawson JA. Pharyngeal-cervical-brachial variant Guillain-Barré syndrome in a child. J Child Neurol 2004;19:626-7. [CrossRef]
  • 12. Mogale KD, Antony JH, Ryan MM. The pharyngeal-cervicalbrachial form of Guillain-Barr é syndrome in childhood . Pediatr Neurol 2005;33:285-8. [CrossRef]
  • 13. Murakami N, Tomita Y, Koga M, Takahashi E, Katada Y, Sakuta R, et al. An adolescent with pharyngeal-cervical-brachial variant of Guillain- Barré syndrome after cytomegalovirus infection. Brain Dev 2006;28:269-71. [CrossRef]
  • 14. Chiba A, Kusunoki S, Obata H, Machinami R, Kanazawa I. Ganglioside composition of the human cranial nerves, with special reference to pathophysiology of Miller-Fisher syndrome. Brain Res 1997;745:32-6. [CrossRef]
  • 15. Koga M, Yuki N, Hirata K. Antiganglioside antibody in patients with Guillain-Barre acute; syndrome who show bulbar palsy as an initial symptom. J Neurol Nearosurg Psychiatry 1999;66:513-6. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
Sayıdaki Diğer Makaleler

The Status of Telomerase Enzyme Activity in Benign and Malignant Gynaecologic Pathologies

Levent TÜTÜNCÜ, Yusuf TUNCA, Serkan BODUR, İlhami GÜL, Özgür DÜNDAR

Inflammatory Myofibroblastic Tumor of the Gallblader

Erkan ŞAHİN, Mustafa ÖZSOY, İsmail ÖZSAN, Ünal AYDIN, Ragıp ORTAÇ

Characteristics of Hepatitis B Co-infection and Disease Evolution in HIV-Positive Paediatric Patients in Romania

Costinela GEORGESCU, Manuela ARBUNE

Grayanotoxin (Mad Honey) - Ongoing Consumption After Poisoning

Özge Ecmel ONUR, Haldun AKOĞLU, Serkan Emre EROĞLU, Arzu DENİZBAŞI, Oğuz URGAN

Decreased Daily Melatonin Levels in Women with Systemic Lupus Erythematosus - A Short Report

Zlatimir KOLAROV, Dobromir TANEV, Georgi KİRİLOV, Milena STOYCHEVA, Analia TOMOVA, Philip KUMANOV, Rasho RASHKOV, Ralitsa ROBEVA

Protective Effects of Alpha-Lipoic Acid on Oleic Acid-Induced Acute Lung Injury in Rats

Mehmet Ferit GÜRSU, Özgür BULMUŞ, İhsan YAMAN, Fatih SAKİN, Funda GÜLCÜ BULMUŞ, Mehmet Hamdi MUZ

Relationship between Helicobacter pylori Adenotonsillar Colonization and Frequency of Adenotonsillitis in Children

Erkan Melih ŞAHİN, Fevzi Sefa DEREKÖY, Oğuz GÜÇLÜ, Alper AKÇALI, Kazım TEKİN, Ozan BARUTÇU, Müşerref Tatman OTKUN

High-Grade Transformation of Adenoid Cystic Carcinoma Delineated with a Fibrous Rim: A Case Report

Hamide SAYAR, İlhami YILDIRIM, Sevgi BAKARİŞ, Sülen SARIOĞLU, Hüseyin ÖZTARAKÇI

Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome

Tülay ŞAHİN, Alparslan KUŞ, Derya BERK, Mine SOLAK, Kamil TOKER

Risks of Metabolic Syndrome in Students of the Faculty of Health Sciences

Ersin ÖĞÜŞ, Mustafa Agah TEKİNDAL, Merve DEMİREL, Deniz EROĞLU, Yelda CEYLAN, Neşe EMECİOĞLU, İlçim ERCAN, Sevinç HANER