Affiliations: Pediatric Health Research Center, Tabriz University of
Medical Sciences, Tabriz, Iran | Physical Medicine and Rehabilitation Research Center,
Tabriz University of Medical Sciences, Tabriz, Iran
Note: [] Correspondence: Dr. Vahideh Toopchizadeh, Division of Pediatric
Physical Medicine & Rehabilitation, University of Medical Sciences, Sheshgelan St, Tabriz Children Hospital,
Tabriz, Iran. Tel.: +98 411 5262279; Fax: +98 411 5262280; E-mail: toopchi@tbzmed.ac.ir
Abstract: Guillain-Barré syndrome (GBS) is generally considered to be
monophasic, but it may recur after interval of many years in 2–6% of
patients. Patients with GBS usually experience the same pattern in a
recurrence, despite the severity of the symptoms and the nature of the
preceding infections varied. However, we present a patient who developed first
episode of GBS as acute generalized weakness and areflexia in the four limbs
and pharyngeal-cervical-brachial variant of GBS on second episode.