We present an uncommon case of a 38-year-old man presented with bilateral subacute weakness of intrinsic hand muscles, manifesting as bilateral claw-hand, without sensory deficits and absent tendon reflexes in upper arms. Nerve conduction studies showed findings consistent with demyelinating GBS. During the fourth day of hospitalization the patient presented symmetrical distal leg weakness and was treated with intravenous immunoglobulin.
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Published online: August 07, 2013
Accepted: July 8, 2013
Received in revised form: July 7, 2013
Received: June 29, 2013
© 2013 Elsevier B.V. Published by Elsevier Inc. All rights reserved.