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 CASE REPORT
Year : 2011  |  Volume : 6  |  Issue : 2  |  Page : 144-145

Guillain-Barre syndrome with hyperreflexia: A variant


Department of Pediatrics, Kasturba Medical College, Manipal University, Mangalore, India

Correspondence Address:
Kamalakshi G Bhat
Department of Pediatrics, KMC Hospital, Attavar, Mangalore - 575 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.92844

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Guillain-Barre syndrome (GBS) is a common cause of acute peripheral neuropathy and is characterized by hyporeflexia or areflexia. Hyperreflexia has been rarely reported with acute motor axonal neuropathy. A 10-year-old boy presented with asymmetrical weakness of upper and lower limbs and change of voice. Weakness progressed in the hospital with involvement of multiple cranial nerves, preserved deep tendon jerks with extensor plantar, and normal abdominal reflexes. He was treated with IV immunoglobulin and IV methylprednisolone. He was able to walk with support with normal voice at the time of discharge. GBS should be a differential diagnosis in patients with acute quadriparesis even if there are preserved deep tendon reflexes.






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