Published online by Cambridge University Press: 27 June 2026
A 66-year-old male with no pertinent medical or family history presents to outpatient neurology clinic with 1 year of progressive weakness in his left arm and hand, and 6 months of weakness in his right arm and hand. He also reports he has fallen multiple times over the past few months and has noticed it is becoming more difficult to swallow solid foods. Denies neck or limb pain, poor appetite, or bowel/bladder symptoms.
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