Guillain-Barre Syndrome is an acute inflammatory polyneuropathy most commonly characterized by rapidly progressive, essentially symmetrical weakness with hyporeflexia or areflexia. The most common underlying subtypes of GB syndrome include Acute Inflammatory Demyelinating Polyneuropathy (AIDP), Acute Motor Axonal Neuropathy (AMAN) and Acute Motor and Sensory Axonal Neuropathy (AMSAN). Association of hyperreflexia with GBS is a rare entity and seen very rarely in Indian population. Here we describe a patient with AMSAN/Miller Fisher variant of GB syndrome who presented with exaggerated reflexes.
Keywords: Guillain Barre Syndrome, hyperreflexia, Miller Fisher, neuropathy