{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:12:50Z","timestamp":1789560770001,"version":"build-2803163510"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Guillain-Barr\u00e9 syndrome (GBS) is an acute, immune-mediated polyradiculoneuropathy with several atypical variants. The pharyngeal-cervical-brachial (PCB) variant is a rare subtype characterized by rapidly progressive weakness of the oropharyngeal, neck, and upper limb muscles, often with relative sparing of the lower limbs. We present a patient who developed progressive upper-limb weakness and neck involvement without significant lower-limb deficit, clinically consistent with the PCB variant of GBS. Daily neurological assessments showed no improvement until the 3\n                    <jats:sup>rd<\/jats:sup>\n                    day of admission, after which evolving findings of upper-limb hypotonia, absent reflexes, and preserved lower-limb power were observed. Serial monitoring of respiratory effort using single breath count remained satisfactory, ruling out early respiratory compromise. This case underscores the diagnostic importance of recognizing PCB-GBS, which may mimic brainstem or cervical spinal pathology and highlights the role of meticulous bedside monitoring and early immunotherapy in improving the outcomes.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_773_25","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T05:00:08Z","timestamp":1775797208000},"page":"S273-S276","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pharyngeal\u2013Cervical\u2013Brachial Variant of Guillain\u2013Barr\u00e9 Syndrome: A Clinical Case Report"],"prefix":"10.4103","volume":"25","author":[{"given":"Shubhangi","family":"Kanitkar","sequence":"first","affiliation":[{"name":"Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janvi","family":"Panchal","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"R1-20260916","first-page":"533","article-title":"Guillain\u2013Barr\u00e9 syndrome variants and related disorders: Classification, diagnosis and treatment","volume":"11","author":"Wakerley","year":"2015","journal-title":"Nat Rev Neurol"},{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1038\/s41582-019-0250-9","article-title":"Diagnosis and management of Guillain-Barr\u00e9 syndrome in ten steps","volume":"15","author":"Leonhard","year":"2019","journal-title":"Nat Rev Neurol"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1038\/nrneurol.2014.121","article-title":"Guillain-Barr\u00e9 syndrome: Pathogenesis, diagnosis, treatment and prognosis","volume":"10","author":"van den Berg","year":"2014","journal-title":"Nat Rev Neurol"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0140-6736(16)00339-1","article-title":"Guillain-Barr\u00e9 syndrome","volume":"388","author":"Willison","year":"2016","journal-title":"Lancet"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1016\/S0140-6736(21)00517-1","article-title":"Guillain-Barr\u00e9 syndrome","volume":"397","author":"Shahrizaila","year":"2021","journal-title":"Lancet"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.mpmed.2020.06.009","article-title":"Acute and chronic neuropathies","volume":"48","author":"Ginsberg","year":"2020","journal-title":"Medicine"},{"key":"R7-20260916","first-page":"251","article-title":"Guillain\u2013Barr\u00e9 syndrome variants: Clinical, immunological and electrophysiological features","volume":"90","author":"Koga","year":"2019","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R8-20260916","first-page":"CD002063","article-title":"Intravenous immunoglobulin for Guillain-Barr\u00e9 syndrome","author":"Hughes","year":"2014","journal-title":"Cochrane Database Syst Rev 2014"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_773_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:41Z","timestamp":1789560041000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_773_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":8,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_773_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"assertion":[{"value":"2025-11-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}