A 60 year old man presents to a neurology outpatient clinic with history of difficulty walking and falls for a few months. On examination, he has some atrophy of the thigh muscles, reduced power of foot dorsiflexion bilaterally right > left and upgoing plantar reflexes bilaterally. Sensation is normal throughout. What is the most likely diagnosis?

14 votes
Spinal cord compression
 
7% / 1 vote
Stroke
 
0% / 0 votes
Myasthenia gravis
 
0% / 0 votes
Motor neurone disease
 
86% / 12 votes
Peripheral neuropathy
 
7% / 1 vote


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