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Cerebrospinal fluid showed an elevated white cell count, predominantly lymphocytic, with otherwise normal constituents and negative viral PCRs. His respiratory function improved after intravenous immunoglobulin, suggesting that this may be useful in such cases. Clinicians should consider enterovirus D68 infection in the differential diagnosis of Guillain-Barr\u00e9 syndrome, particularly the pharyngeal\u2013cervical\u2013brachial variant.<\/jats:p>","DOI":"10.1136\/practneurol-2017-001609","type":"journal-article","created":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T20:35:14Z","timestamp":1497645314000},"page":"297-301","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Acute segmental poliomyelitis-like flaccid paralysis in an adult in the UK, associated with enterovirus D68"],"prefix":"10.1136","volume":"17","author":[{"given":"Sybil R L","family":"Stacpoole","sequence":"first","affiliation":[{"name":"Department of Neurology, Peterborough City Hospital, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough, UK"},{"name":"Department of Neurology, Addenbrooke\u2019s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Molyneux","sequence":"additional","affiliation":[{"name":"Department of Neurology, Addenbrooke\u2019s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"B\u00e4umer","sequence":"additional","affiliation":[{"name":"Department of Neurology, Peterborough City Hospital, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough, UK"},{"name":"Department of Neurology, Addenbrooke\u2019s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,6,16]]},"reference":[{"key":"2025090411115602000_17.4.297.1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1986.00520110044012"},{"key":"2025090411115602000_17.4.297.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2013-305397"},{"key":"2025090411115602000_17.4.297.3","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awt285"},{"key":"2025090411115602000_17.4.297.4","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1002\/mus.25008","article-title":"Neuralgic amyotrophy: an update on diagnosis, pathophysiology, and treatment","volume":"53","author":"Van Eijk","year":"2016","journal-title":"Muscle Nerve"},{"key":"2025090411115602000_17.4.297.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62457-0"},{"key":"2025090411115602000_17.4.297.6","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2014.19.44.20952"},{"key":"2025090411115602000_17.4.297.7","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES2015.20.10.21062"},{"key":"2025090411115602000_17.4.297.8","doi-asserted-by":"publisher","DOI":"10.1086\/521895"},{"key":"2025090411115602000_17.4.297.9","unstructured":"Centers for Disease Prevention and Control (CDC). Summary of findings: investigation of Acute Flaccid Myelitis in U.S. Children. Atlanta: CDC, 2014. http:\/\/www.cdc.gov\/ncird\/investigation\/viral\/ sep2014\/investigation.html."},{"key":"2025090411115602000_17.4.297.10","doi-asserted-by":"publisher","DOI":"10.3390\/v7112925"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/practneurol-2017-001609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T18:20:18Z","timestamp":1757010018000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/practneurol-2017-001609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,16]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,7,13]]},"published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1136\/practneurol-2017-001609"],"URL":"https:\/\/doi.org\/10.1136\/practneurol-2017-001609","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"value":"1474-7758","type":"print"},{"value":"1474-7766","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,16]]}}}