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70-årig fd byggnadsingenjör har sedan 1 år noterat tilltagande svaghet och fumlighet i båda händerna. Vid undersökning av pat finner du uttalade pareser och atrofier generellt i båda händerna, lätta atrofier även i lårmusklerna bilat. Fascikulationer syns i skuldergördel samt i lårmuskel. Reflexer generellt livliga utan säker sidoskillnad. Suspekt pos Babinskis tecken höger. Normal sensibilitet, normal blås- och tarmfunktion.a) Sannolik diagnos.b) Vilka fynd i status talar för skada på det centrala nervsystemet?c) Vilka fynd i status talar för skada på det perifera nervsystemet?d) Föreslå en undersökning som kan bekräfta din diagnosmisstanke.
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