In univariate analysis, Medical Research council sum score (MRC) on admission (p < 0.001), bulbar paralysis (p < 0.001), autonomic dysfunction (p < 0.001), HBcAb (p = 0.009), neutrophil/lymphocyte ratio (NLR) (p < 0.001), and Serum albumin (p = 0.016) were associated with MV. Here, ALB is linked to Paralysis.