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Episode 344: Neurology VMR – bilateral lower limb weakness

The Clinical Problem Solvers

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Diagnosis and Differential of Chronic Lower Limb Weakness

The chapter delves into a case presentation of a 67-year-old male with chronic bilateral lower limb weakness, discussing symptoms like muscle cramps, drooping eyelids, and dysphagia. The conversation explores the differential diagnosis, focusing on myopathies, neuropathies, and lower motor neuron diseases, including specific examples like dermatomyositis and genetic disorders such as Duchenne muscular dystrophy. It also covers reflex examination and the unique patterns seen in various neurological conditions affecting muscles and nerves.

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