Guillain-Barre Syndrome Presenting with Hyperreflexia – A Rare Case Report.

Guillian-Barre syndrome (GBS) is an acquired autoimmune polyradiculopathy. Areflexia and progressive flaccid weakness are essential for its diagnosis. Here we report a case of 25 year old female presenting with acute onset flaccid quadriparesis. The diagnosis of GBS was made on history and clinical findings supported by cerebro-spinal fluid (CSF) analysis and nerve conduction studies (NCS). The hallmark of this case was the presence of hyperreflexia in all four limbs without involvement of higher functions, sensory, autonomic and bulbar dysfunction. To diagnose this rare entity, a high index of suspicion is needed.