"My Tongue is Dancing"
Patient History
A 47-year-old male presents to the physician complaining that "my tongue is dancing". He has a 1-year history of difficulty swallowing solids and liquids as well as a decrease in the volume of his voice. Physical examination reveals weakness and atrophy of his leg muscles bilaterally and mildly slurred speach. His sensory functions are intact. Electromyography shows evidence of active and chronic denervation.
Q1: Which of the following is the most likely diagnosis?
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Q2: Which of the following is the most likely histologic finding?
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Q3: Which of the following medications may be helpful for this condition?
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Video source: NEJM videos
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