PMC:7597510 / 2806-4411 JSONTXT

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However, at that time, she began to experience numbness in the lower extremities, that gradually spread to the upper extremities. Within the next week, she began to develop weakness in the extremities. Neurological examination revealed no findings suggestive of abnormalities in the central nervous system. Tendon reflexes in the upper extremities were normal, although they were absent in the lower extremities. The Medical Research Council Scale grade for muscle strength was 4/4 for proximal and 5/5 for distal muscles of the lower extremities, and 4/4 for proximal and 4/4 for distal muscles of the upper extremities; she was able to walk. Her modified Erasmus GBS Outcome Score (mEGOS) was 3/9, while her Hughes’ functional grade was 2. 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