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Dr Chancellor describes a very interesting patient who illustrates well the heterogeneity of clinical features in patients who may be considered to have a variant form of GBS. The two features required for a diagnosis of GBS, as reaffirmed by Asbury and Cornblath in 1990,1 are progressive motor weakness and areflexia. Areflexia includes both universal and distal areflexia (such as loss of ankle jerks and hyporeflexia of …