{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:17:28Z","timestamp":1783444648400,"version":"3.54.6"},"reference-count":15,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,9]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Chikungunya (CHIK) viral fever is a self-limiting illness that presents with severe debilitating arthralgia, myalgia, fever and rash. Neurological complications are rare. We present a case of a 36-year-old woman who presented with acute onset progressive difficulty swallowing and left arm weakness. She was diagnosed with CHIK viral fever 4\u2009weeks prior to admission. After investigations, she was diagnosed with a pharyngeal\u2013cervical\u2013brachial variant of Guillain-Barr\u00e9 syndrome. In hospital, she required ventilator support. Her condition improved after five sessions of intravenous immunoglobulin with almost complete resolution within 6\u2009months of symptom onset. With frequent CHIK outbreaks, the neurological complications are increasingly seen in the emergency department. The knowledge of these associations will result in early diagnosis and treatment.<\/jats:p>","DOI":"10.1136\/bcr-2018-228845","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T16:11:38Z","timestamp":1556035898000},"page":"e228845","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Rare variant of Guillain-Barr\u00e9 syndrome after chikungunya viral fever"],"prefix":"10.1136","volume":"12","author":[{"given":"Sajid","family":"Hameed","sequence":"first","affiliation":[{"name":"Neurology, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Khan","sequence":"additional","affiliation":[{"name":"Neurology, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,4,23]]},"reference":[{"key":"2025082803123881000_12.4.e228845.1","first-page":"264","article-title":"Chikungunya virus infection","volume":"61","author":"Sam","year":"2006","journal-title":"Med J Malaysia"},{"key":"2025082803123881000_12.4.e228845.2","doi-asserted-by":"publisher","DOI":"10.1086\/605496"},{"key":"2025082803123881000_12.4.e228845.3","first-page":"211","article-title":"Chikungunya virus infection: an overview","volume":"36","author":"Caglioti","year":"2013","journal-title":"New Microbiol"},{"key":"2025082803123881000_12.4.e228845.4","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.injms.2016.12.003","article-title":"Longitudinally extensive transverse myelitis caused by Chikungunya virus","volume":"8","author":"Singh Jain","year":"2017","journal-title":"Indian Journal of Medical Specialities"},{"key":"2025082803123881000_12.4.e228845.5","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1007\/s13365-017-0516-1","article-title":"Guillain-Barre syndrome complicating chikungunya virus infection","volume":"23","author":"Agarwal","year":"2017","journal-title":"J Neurovirol"},{"key":"2025082803123881000_12.4.e228845.6","doi-asserted-by":"publisher","DOI":"10.3201\/eid1503.071482"},{"key":"2025082803123881000_12.4.e228845.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-011-0180-1"},{"key":"2025082803123881000_12.4.e228845.8","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.1978"},{"key":"2025082803123881000_12.4.e228845.9","doi-asserted-by":"publisher","DOI":"10.1159\/000324710"},{"key":"2025082803123881000_12.4.e228845.10","doi-asserted-by":"crossref","first-page":"356","DOI":"10.4269\/ajtmh.15-0753","article-title":"Guillain-Barr\u00e9 Syndrome and Chikungunya: Description of All Cases Diagnosed during the 2014 Outbreak in the French West Indies","volume":"97","author":"Balavoine","year":"2017","journal-title":"Am J Trop Med Hyg"},{"key":"2025082803123881000_12.4.e228845.11","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.clineuro.2017.05.006","article-title":"Guillain-Barr\u00e9 Syndrome, variants & forms fruste: Reclassification with new criteria","volume":"158","author":"Hiew","year":"2017","journal-title":"Clin Neurol Neurosurg"},{"key":"2025082803123881000_12.4.e228845.12","doi-asserted-by":"crossref","unstructured":"Wakerley BR , Yuki N . Pharyngeal-cervical-brachial variant of Guillain\u2013Barr\u00e9 syndrome. 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