Title: Hyperreflexic Guillain - Barre Syndrome: A Rare Case Report and a Brief Review of Literature

Authors: Dr Vajed Mogal, Dr Sandeep Sanap, Dr Pratik Patil, Dr Preetam Ahire

 DOI:  http://dx.doi.org/10.18535/jmscr/v3i10.26

Abstract

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 65 year-old-female, known case of hypertension with type 2 diabetes mellitus, presented with asymmetrical weakness of upper and lower limbs and slurring of speech. Weakness progressed in the hospital with involvement of multiple cranial nerves, preserved deep tendon jerks with extensor plantar, and normal abdominal reflexes. She was treated with IV immunoglobulin and IV methylprednisolone. She was able to walk with support with normal voice at the time of discharge. This case reports highlights hyperreflexic guillain-barre syndrome as a rare presentation.

Key Words: Guillain–Barre syndrome(GBS), Quadriparesis, Hyperreflexia, Acute motor axonal neuropathy (AMAN)

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Corresponding Author

Dr Vajed Mogal

Associate Consultant-Intensivist, MD (General Medicine) at Wockhardt Hospital,

Nashik Maharashtra, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it. 09822961158