Guillain-Barré syndrome is an immune mediated peripheral neuropathy characterised by acute onset of symmetric limb weakness and areflexia. Patients with typical Guillain-Barré syndrome had greater leg weakness than arm weakness, with an ascending progression.1 Some patients with Guillain-Barré syndrome, however, present muscle weakness only at the oropharynx, neck, and proximal upper limb muscles, and a descending pattern of weakness appears as illness progresses.2Ropper2 proposed that the second group of patients had a variant of Guillain-Barré syndrome, “pharyngeal-cervical-brachial weakness (PCB)”. Ophthalmoplegia and cerebellar ataxia, however, are often noted in patients with PCB. Therefore, it is unclear whether PCB is an “atypical” Fisher’s syndrome or a distinct variant entity of Guillain-Barré syndrome. To clarify this, we investigated the relation of neck and limb weakness with cranial nerve involvements. We report here that oropharyngeal palsy in Guillain-Barré syndrome has a significant association with neck and …