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Till dig på medicinakutmottagningen inkommer en man med tilltagande muskelsvaghet sedan 3 månader. Pat är 60 år och arbetar som busschaufför. Under den senaste tiden har pat haft svårigheter att tugga och vissa resenärer skall ha noterat att pat talat grötigt. Pat har själv noterat att vikten gått ner 7 kilo och att han har fått svårt att bära jordsäckar på kolonilotten. I status noterar du generellt atrofisk muskulatur, bilateral positiv Babinski, tungatrofi och normal sensibilitet. Sannolik diagnos? 1p
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