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Acute Flaccid Paralysis - Malaysian Paediatric Association

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Botulism: Nerve conduction study<br />

Repetitive stimulation at 30 Hz for 1 second<br />

L ulnar nerve<br />

L tibial nerve<br />

POSITIVE incremental response<br />

suggestive of a pre-synaptic<br />

defect in neuromuscular<br />

transmission

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