Sarcouncil Journal of Biomedical Sciences

Abstract: The pharyngeal-cervical-brachial (PCB) variant of Guillain–Barré syndrome is defined by rapidly progressive oropharyngeal and cervicobrachial weakness associated with areflexia in the upper limbs. Subacute combined degeneration (SCD) is an acquired myelopathy caused by vitamin B12 deficiency, and is a rare cause of demyelination of the dorsal columns of the spinal cord. We report the case of a patient evaluated at department of emergency (DEA) in our hospital, who received both diagnosis of PCB and SCD. This constitute a unique case in literature. Diagnosis of both diseases can be focused on history and neurological findings alone and it is important to promptly recognize them in order to start treatment.