His gait was slow with a decreased stride length and narrow base. Sensory exam was normal.
Questions for consideration:1. Where would you localize this process? 2. Is this an acquired or inherited disease?3. What testing would be helpful to narrow the differential?
Section 2Given the lack of sensory involvement, possible localizations include anterior horn cells, motor nerve roots, neuromuscular junction, and muscles. His presentation of symmetrical biceps and lower
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