TY - JOUR T1 - Areflexia as a sine qua non for Guillain-Barré syndrome: very practical neurology JF - Practical Neurology JO - Pract Neurol SP - 396 LP - 396 DO - 10.1136/jnnp.2006.107235 VL - 6 IS - 6 AU - Andrew Chancellor Y1 - 2006/12/01 UR - http://pn.bmj.com/content/6/6/396.abstract N2 - In her article on Guillain-Barré syndrome (GBS) in the August issue, Jane Pritchard repeats the age-old neurological dogma that areflexia is part of the “essential diagnostic criteria”.1 But she does not mention that preserved or exaggerated reflexes do not exclude the diagnosis. I was unaware of this until I examined an exception to the rule last year.A 59 year old man was admitted with deteriorating weakness, 10 days after a meal of undercooked chicken, followed by diarrhoea, with two positive Clostridium jejuni stool samples. He … ER -