Sensory abnormality (e.g., ache, numbness, paresthesias)? Muscle cramping or aching? Bowel and/or bladder signs? Ocular involvement (e.g., double imaginative and prescient, droopy eyelids)? Bulbar involvement (e.g., voice change)? What actions/movements do you've gotten trouble with? Duration or pattern? Acute-onset suggests a vascular etiology. Fatigability and waxing/waning suggest myasthenia gravis. Weakness distribution: BloodVitals device - Proximal vs. Upper vs. lower extremities? Brainstem infection or inflammation (e.g., sarcoidosis, neuromyelitis optica spectrum disorder). Structural lesion compressing the brainstem. Acute disseminated encephalomyelitis (ADEM). Distribution: Motor and sensory findings may localize to a spinal degree. Reflexes: Upper motor neuron signs might seem, especially subacutely (e.g., hyperreflexia, spasticity, Babinski sign). Acutely, patients might have transient spinal shock, with lack of spinal operate below the level of the lesion and areflexia. Sensation: - Frequently involved. Sensory level may be present. Bowel and bladder dysfunction could happen. Spinal cord compression (e.g., trauma, epidural abscess, malignancy). Inflammation (e.g., idiopathic transverse myelitis 📖, neuromyelitis optica spectrum disorders).

Spinal cord infarction (e.g., iatrogenic or complicating meningitis with a local vasculitic process). Distribution is variable: - Often asymmetric. Enteroviruses (e.g., poliomyelitis, enterovirus D68, enterovirus D71). Arboviruses (e.g., BloodVitals test West Nile virus). Paraneoplastic motor neuron illness. Cranial nerve/bulbar involvement: Bulbar involvement could occur, however ocular involvement is rare. Reflexes: Reduced (hyporeflexia or areflexia). Other findings: Lower motor neuron findings might happen (atrophy, fasciculations). CMV, HIV, EBV, VZV. Vitamin deficiency (e.g., thiamine deficiency