Introduction:

Guillain-Barré syndrome (GBS) is a demyelinating polyradiculoneuropathy. Recurrent Guillain-Barré syndrome (RGBS) occurs between 1 and 6%, which appears after months or years of the first episode. Cases in children are uncommon.

Objective:

This paper presents a seven-year-old schoolgirl with RGBS.

Case report:

The first episode of the GBS was at two years of age; during her hospital stay, she received intravenous immunoglobulin (IVIG). There was no respiratory compromise; after improvement few days later, she left the hospital. The second episode of GBS was at seven years of age, but this time she had respiratory failure, bulbar disease, dysflexia and dysautonomies, requiring mechanical ventilation for 37 days, despite treatment with IVIG. By electromyography a SGB acute axonal motor variant was determined.

Conclusions:

RGBS in children is a rare variant. In most reports, the course of subsequent episodes is different from the initial one.