Instead, limbs may be flaccid and areflexic
as was the case in our patient.
It is a symmetrical, predominantly motor, flaccid and areflexic
paralysis with a clinical progression of the disease usually for a period of 4 weeks.
(4) One-quarter of patients enter the third stage of illness marked by akinetic mutism, hypotonic areflexic
paresis, central pyrexia, and eventual death.
The association between hyperthyroidism and acute flaccid areflexic
neuropathy receives little credence in the following well-known clinical textbooks: Dyck and Thomas' Peripheral Neuropathy  comments on its uncertain association and the difficulty to distinguish it from acute idiopathic polyneuritis; Bradley's Neurology in Clinical Practice  refers to its association as fortuitous; and Williams's Textbook of Endocrinology  and Harrison's Internal Medicine  do not even mention the association.
Urodynamic findings were classified as: neurogenic detrusor overactivity (NDO), areflexic
bladder (AB), and neurogenic detrusor-sphincter discoordination (NDSD).
She was areflexic
and had down going plantar reflexes but sensation in all limbs was intact.Laboratory examination showed bicytopaenia (haemoglobin of 9.5 g/dL and platelet count of 50 x 109 cells/L).
As par few literatures, long term use of chloroquine in arthritis patients may cause areflexic
These neuropathies manifested as acute to subacute onset, ascending, areflexic
paralysis, with some having sensory and cranial nerve involvement.
At the time of discharge, the patient was at an RLAS level of VIII (comprehensive neuropsychological assessment revealed mild persistent deficits in executive functioning); had a FIM score of 61; had L1 AIS B paraplegia (intact light touch and pinprick in the L1 dermatome, but reduced below the level of injury) with lower motor neuron areflexic
bladder and bowel function; demonstrated good strength (3/5 by manual muscle testing) across the left shoulder, elbow, and wrist with trace strength of the hand; and had an 8-10 h out-of-bed and sitting-time tolerance.
In 1986 Feasby et al described an acute areflexic
polyneuropathy clinically similar to typical GBS but characterized pathologically by widespread and severe axonal degeneration20.
Classical Guillain-Barre syndrome (GBS) typically presents as a subacutely evolving areflexic
paralysis and the diagnosis is based on a combination of clinical and laboratory features.
All of the 4 patients with weakness had areflexic
quadriplegia; 1 required ventilatory support.