Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a bit of a medical mystery. My younger sister had an attack about a month ago. She presented with gagging, then had to lie down due to muscle weakness. She couldn t even sit up, she became limp like a rag doll, but still responded to our questions... Although she seemed very confused and didn t know where she was. She was admitted to the hospital due to her state but all of her tests have come back negative. Today she can still not walk without an aid because her balance is off and her leg muscles are extremely weak. She is completely normal when sitting down, but when she tries to walk a short distance she becomes very tired very quickly. She has gotten EEG s, MRI s, blood work multiple times and yet everything still comes back normally. It is seriously affecting her life and we need answers.
[|AI|]  His may suggest that she should have a neurophysiologists work out with studies of electromyography and electrophysiologist studies if muscles and nerves of lower limbs, also spinal cord in back spine issues should be searched for to be causative of leg weakness. I am not clear as to what you call gagging...exactly how it occurred has to be elaborated. Motoneuron diseases of nerves should be ruled out by a neurologist. All said and done, physical therapy, TENS or muscle nerve stimulation therapy, exercises, massage should be carried out for maintaining strengthening of muscles. Pregabelin or gabapentin tablets may be indicated to control nerve symptoms. Serum CPM, LDH, Lactic acid levels should be measured.CSF examination test is a necessityConsult in a neurology institute Best wishes