A 70-year-old man presents with a 2-3-month history of slurred speech as well as difficulty in chewing and swallowing, to the point where he is no longer eating solid food. On examination he has weakness of jaw closure and difficulty in protruding his tongue. There is some wasting and fasciculation involving both sides of the tongue. He has lost a few kilos in weight over this time. Apart from a generally thin appearance, the rest of the neurological and general examination appears to be normal. In particular, the tendon reflexes are all within physiological limits. What is the most likely diagnosis? 1- Myasthenia gravis 2- X-linked spinobulbar atrophy 3- Lower cranial nerve palsies secondary to skull base metastases 4- Motor neurone disease (MND) 5- Syringobulbia
Posted on: Mon, 11 Aug 2014 23:18:40 +0000
Trending Topics
Recently Viewed Topics
© 2015