A 19-year-old has a history of gait difficulty. On exam, he has absent position and vibration sense in his lower extremities. The Babinski reflex demonstrates up-going toes bilaterally. He is brought to the hallway to assess his gait, where he is found to be broad-based and grossly unstable. Family history is pertinent for his uncle having similar symptoms. His uncle also developed diabetes and deafness, and later died at age 52. This patient is most likely suffering from which of the following? A. Cerebellar tumor B. Huntington’s chorea C. Friedreich’s ataxia D. Multiple sclerosis E. Wilson’s disease
Posted on: Fri, 26 Jul 2013 23:44:17 +0000
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