23rd August 2024

A 65-year-old lady presents with a 3-month history of regurgitation of food and fluids, dysarthria and dysphagia

A 65-year-old lady presents with a 3-month history of regurgitation of food and fluids, dysarthria and dysphagia. She also notes a change in her voice and describes it as hoarse and nasal.

On examination, she has a flaccid tongue with an absent jaw jerk. Her upper and lower limb examination is normal, and her sensation is normal.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.