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June 20, 2026Journal of Family Medicine and Primary CareOpen Access

Guillain–Barré syndrome with bilateral extensor plantar responses: A rare case report

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Authors

MMMidhun MohanRYRamakant YadavARAjay Emani Ramamurthy

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Overview

Case report demonstrates bilateral extensor plantar responses in a GBS patient, highlighting diagnostic challenges.

Key Points

  • This report aims to describe a rare presentation of Guillain–Barré syndrome with atypical features such as bilateral extensor plantar responses and cranial nerve involvement.
  • Case report of a 34-year-old woman with GBS
  • Neurological examination, MRI, cerebrospinal fluid analysis, and nerve conduction studies were performed
  • Intravenous immunoglobulin treatment was administered after corticosteroid therapy proved ineffective.
  • Patient showed bilateral facial diplegia and ascending limb weakness with extensor plantar responses.
  • Cerebrospinal fluid analysis revealed albuminocytological dissociation, indicating a possible GBS diagnosis.
  • Patient achieved near complete recovery with minimal residual weakness after treatment.

Cite This Study

Mohan et al. (2026) studied this question.

synapsesocial.com/papers/6a362ebddb0793dc1a5366b7https://doi.org/10.4103/jfmpc.jfmpc_2009_25
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