27th June 2023

A 40-year-old man presents with trouble walking and had recent falls. He has had slowly progressive symmetrical weakness affecting his hands

A 40-year-old man presents with trouble walking and had recent falls. He has had slowly progressive symmetrical weakness affecting his hands and feet as well as his shoulder and hips over the last few months. On examination, he has some mild paraesthesia over her hands and feet with pins and needle sensation. He has impairment of vibration and proprioception affecting the feet and loss of reflexes globally.

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