Abstract

Background

Guillain-Barre Syndrome (GBS) is an immune polyradiculoneuropathy that presents with ascending bilateral lower extremity weakness and areflexia and that affects all age groups with a slight male predisposition. The natural history of GBS in infants and children is more variable and more benign than in adults. Infants may present with hypotonia, feeding difficulties, irritability due to pain, or reduced activity.

Recurrent Guillain-Barre Syndrome (RGBS) can recur in 1–6% of patients, though it has been reported to occur in 1–10% of patients after asymptomatic period of several months to several years. Risk factors for RGBS include age less than 30, milder symptoms, and history of Miller Fisher Syndrome variant. There appears to be no significant difference between RGBS and GBS episodes with respect to similar clinical symptoms and similar or different triggering events. The episode appears to be shorter with half of the patients accumulating deficits.

We present the case of RGBS of a different subtype 4 years after initial presentation