Hyperekplexia is a rare condition in which there is an exaggerated startle
response. We report how a case presented in Papua New Guinea (PNG) and was
diagnosed with international support. This is the first reported case in PN
G. It is an important diagnosis to make to prevent sudden death and inappro
priate treatment. The case illustrates the benefit of having a link with an
international specialist and we discuss the importance of communication be
tween developing and industrialized countries.