Bhavesh Gahlotalmost 2 years ago

*Que* A 50yo woman presents following a fall. She reports pain and weakness in her hands for several months, stiff legs, swallowing difficulties, and has bilateral wasting of the small muscles of her hands. Reflexes in the upper limbs are absent. Tongue fasciculations are present and both legs show increased tone, pyramidal weakness and hyper-reflexia with extensor plantars. Pain and temperature sensation are impaired in the upper limbs. What is the most likely dx? a. MS b. MND c. Syringobulbia d. Syringomyelia e. Myasthenia gravis