Additional findings can help localize the lesion more precisely. Cause is thought read more , myasthenia gravis, radiculopathies, Eaton-Lambert syndrome) cause proximal and distal weakness, but one pattern may be more prominent at first. For patients with life-threatening, acute weakness, ventilatory support may be needed. If patients have hyporeflexia and predominantly distal muscle weakness, particularly with distal sensory deficits or paresthesias, suspect polyneuropathy. Weakness that fluctuates over the course of a day may be caused by myasthenia gravis, Eaton-Lambert syndrome Neurologic paraneoplastic syndromes , or periodic paralysis Familial Periodic Paralysis Familial periodic paralysis is a rare autosomal dominant condition with considerable variation in penetrance characterized by episodes of flaccid paralysis with loss of deep tendon reflexes read more . That's a weak one. These women are constantly learning from the false teachers. Sweetness. The temporal pattern of symptoms is useful. Someone who works and sacrifices a lot to achieve their goals. After all, what did you do to deserve X, Y or Z? !0:!1}}}function B(a,b){for(var d=0;d "+c)}else return b;else d(7,b)}function g(a,b){function c(){if(!1===n){for(var c=[],E=0;E

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