Paper Title
Hyperreflexic Guillian-Barre Syndrome: A Rare Case Report and a Brief of Literature

Abstract
Guillian-Barre syndrome (GBS) is a common cause of acute peripheral neuropathy and is characterized by hyporeflexia and 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 asymmetrica weakness of upper and lower limb 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 treaed with IV Immunoglobulin and IV Methylprednisolone. She was able to walk with support with normal voice and the time of discharge. This case reports heighlights hyperreflexic Guillain- Barre Syndrome-A rare presentation. Keywords- Guillain-Barre syndrome ( GBS ) , Quadriparesis, Hyperreflexia, Acute motor axonal neuropathy ( AMAN ).