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Medicine General 78af9780

A middle aged man presents with progressive atrophy and weakness of hands and forearms. On examination he is found to have slight spasticity of the legs, generalized hyper-reflexia and increased signal in the cortico-spinal tracts on T2 weighted MRI. The most likely diagnosis is -

A
Multiple selerosis
B
Amyotrophic latetal sclerosis
C
Subacute combined degeneration
D
Progressive spinal muscular atrophy
High-Yield Explanation
No explanation provided.

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