SUMMARY
After the reduction of poliomyelitis, Guillain–Barre syndrome (GBS) has become the most common cause of acute flaccid paralysis in the developed and developing countries. Although it is a monophasic illness, GBS might reoccur in 1–6% of patients, after an asymptomatic period of several months to years. Risk factors for recurrent GBS (RGBS) include age less than 30, milder symptoms, and history of Miller-Fisher syndrome variant in the first episode. A recurrence was defined as two or more episodes that fulfilled the National Institute of Neurological and Communicative Disorders and Stroke criteria for GBS, with a minimum time between episodes of 2 months (when fully recovered in between) or 4 months (when only partially recovered). There appears to be no significant difference between GBS and RGBS episodes with respect to clinical symptoms and triggering events. We report a 12-year-old girl who presented with a second attack of GBS after an interval of 6 years with similar signs and symptoms. Nerve conduction study in both the episodes was of acute motor axonal neuropathy variety.