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Letter
Hyperextension of spine: unusual presentation of Guillain-Barré syndrome
  1. A K Baranwal,
  2. S C Singhi
  1. Department of Pediatrics, BP Koirala Institute of Health Sciences, Dharan, Nepal; baranwal1970@yahoo.com

https://doi.org/10.1136/adc.87.4.359

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    Guillain-Barré syndrome (GBS) classically presents as ascending symmetric areflexic weakness with positive sensory symptoms. Recently, we managed a child presenting with unusual posture and hyperextension of the whole spine.

    A 9 year boy presented with inability to hold books and write, and a limp. Over 12 hours he had developed tingling sensations and pain in the calf muscles; pain progressed to involve the neck and back by 24 hours and he was unable to flex his neck and extend his limbs. During the next two days weakness increased, especially of the lower …

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