Mainstream Mondays VMR - June 22, 2026 - Diffuse Weakness

Descending pattern makes us think about GBS variants(Miller Fisher), myasthenia gravis (evolves slowly-fluctuating), botulism (evolves in hours). Lack of eye involvement takes us away from myasthenia gravis and botulism. Polyneuropathy diffrentials include: ABCT (A-AIDP/B-Vitamin B deficiency/ C- Cauda equina/ T-Toxins)