A middle aged man presents with progressive atrophy & weakness of hand & forearms. On examination he is found to have slight spasticity of the leg, genera-lized hyperreflexia and increased signal in the coico-spinal tracts on T2 weighted MRI. The most likely diagnosis is:

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Accepted Answer

Multiple Sclerosis

Answer

Amyotrophic lateral sclerosis

Answer

Subacute combined degeneration

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Progressive spinal muscular atrophy

A middle aged man presents with progressive atrophy & weakness of hand & forearms. On examination he is found to have slight spasticity of the leg, genera-lized hyperreflexia and increased signal in the coico-spinal tracts on T2 weighted MRI. The most likely diagnosis is:

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