Clinically, at presentation, all of them had symmetrical, ascending areflexic weakness of the lower limbs, with 21/24 (87.
The combination of generalized areflexic flaccid paraparesis with facial diplegia, ophthalmoplegia, and bulbar weakness often leads to the diagnosis of acute polyradiculoneuropathy (GBS) or its variant.
Symptoms include diffuse leg pain and sacral paresthesias progressing to weakness and flaccid, areflexic paraparesis, as well as urinary retention in more than two-thirds of patients (3).
During the first examination, the patient already presented areflexic paraparesis, T4 sensory level, and cranial nerve involvement (Bell's palsy), which suggest late stage of CMV neurologic disease.
She was confused with gaze-evoked nystagmus and bilateral abducens nerve palsies, was areflexic
with mildly reduced power and limb dysdiadochokinesia, and could not sit because of severe truncal ataxia.
The reflex magnitude in RF and VM increased along with the increase in the muscular activity during midstance and terminal swing phase During the transition period however, all the subjects remained areflexic
during this period despite significant increase in the EMG background activity (Fig-4).
Following extubation, bilateral facial and areflexic, asymmetric weakness was observed in all extremities; sensory examination was normal.
On examination, the patient had a flaccid areflexic right leg and a weak, hyporeflexic left leg; strength and reflexes in the arms were normal.
3%) were areflexic
and performed self-catheterization, 5 (8.
He was areflexic
in the legs with either hyporeflexia (biceps and supinator reflexes) or areflexia (triceps reflexes) in the arms.
On day 30, the patient was transferred for rehabilitation with flaccid, areflexic paralysis in the right leg and variable weakness and diminished reflexes in all other limbs.
The patient was hospitalized on July 29, and neurologic examination showed a flaccid, areflexic right lower extremity and a weak left lower extremity with diminished reflexes.