Which finding is NOT typically associated with Guillain Barre syndrome?

Guillain-Barré syndrome (GBS) is an acute polyneuropathy characterized primarily by rapidly progressing muscle weakness and sensory changes. The condition often presents with specific symptoms that are linked to the underlying pathology of demyelination of peripheral nerves.

Paresthesias, or abnormal sensations such as tingling or numbness, are common early signs of GBS, occurring alongside motor symptoms. Weakness is a hallmark of the syndrome, often starting in the legs and ascending, leading to significant impairment. Diplopia, or double vision, can arise in GBS due to cranial nerve involvement, specifically affecting eye movement.

Hyperactive reflexes, however, are typically not observed in GBS. The syndrome leads to a decrease or absence of reflexes due to the nerve damage and impairment of motor function. Thus, the presence of hyperactive reflexes is inconsistent with the usual clinical manifestations of Guillain-Barré syndrome, making this option the correct answer as a finding not typically associated with the condition.