Abstract

Gullain-Barre syndrome commonly present as ascending flaccid paralysis with progressive respiratory involvement. There are number of variants with different presentations like Pharyngeal-cervical-brachial variant. Here we are describing 26 year old male who presented with bilateral ptosis with bilateral lateral recti and bilateral seventh nerve involvement with progressive brachial involvement. Nerve conduction study showed conduction block in right posterior tibial nerve, the right common peroneal CMAP and conduction velocity were normal with absent F waves. The left common peroneal and left posterior tibial nerve shows absent F wave. Intravenous Immunoglobulins were started and patient showed improvement in ptosis and slight improvement in facial and brachial involvement.

Keywords: GBS, Ropper’s variant, AIDP.