Guillain-Barre Syndrome Concomitant with Acute Myelitis

ABSTRACT

Guillain-Barre syndrome (GBS) is clinically characterized by acute, progressive, symmetrical weakness and areflexia. However there have been several reports of patients with the acute motor axonal neuropathy type of GBS showing hyperreflexia. We experienced a patient with acutely developed ascending progressive weakness of low extremities up to face following enteritis and concomitantly developed hyperreflexia following initial treatment with IVIG. The spinal MRI scan revealed radiological features of acute diffuse myelitis. The treatment with steroid resulted in fairly good clinical and electrophysiological outcome.