Acute flaccid paralysis is one of the common presentation in Emergency and Gullian-Barre Syndrome and Periodic Hypokalemic Paralysis being important differriantial diagnosis with separate management. But the combination of both these conditions can be a diagnostic challenge for Emergency Physician. We report a case of 20 year old male who presented with such an association of Hypokalemia along with Guillian Barre Syndrome highliting the importance of the need to rule out various differential diagnosis during management of acute flaccid paralysis.

Keywords: Guillian Barre Syndrome; Hypokalemia; Hypokalemic Periodic Palsy; Nerve Conduction Studies.