Mielopathy’s Like Symptom in Guillain Barre Syndrome: Case Report

Background: Guillain-Barré syndrome (GBS) is a peripheral nervous system inflammatory disease that the most prevalent cause of acute flaccid paralysis, with an annual global incidence 1-2 per 100,000 person-years. GBS typically appears ascending paralysis and sensory abnormalities in anesthetic glove stockings; may extend to cranial muscles. Although disease’s clinical presentation diverse there are multiple discrete forms, myelopathy as sign relatively unusual condition. Case presentation: diagnosed 29-year-old woman symptoms such tetraparesis, hypoesthesia below level second thoracal myelum, aberrant proprioceptive lower extremities, retention urine anhidrosis. We perform lumbar puncture, cerebrospinal fluid (CSF) examination reveals albumin-cytological dissociation. Cervico-thoracic magnetic resonance imaging (MRI) revealed no abnormalities. Demyelinating polyradiculopathy was discovered using electromyography (EMG) nerve conduction studies (NCS). Discussion: The classical progressive (ascending) limb weakness decreased or absent physiological reflexes. Pharyngeal–cervical–brachial variation face diplegia paraesthesia rare variations GBS. Our patient presented accompanied by disturbance central but had similiar serological biomarker, which be another variant Conclusion: Diagnosis quite challenging. has wide range symptoms. EMG-NCV puncture still required myelopathic individuals normal MRI, should explored. As result, choice therapy management becomes more appropriate.