Which is the most likely pathophysiology underlying symptoms

Reference no: EM133633505

Problem: A 75-year-old man presents to your office with a three-month history of progressive "clumsiness." He notes that he has intermittent numbness and tingling in his hands and has difficulty doing tasks such as fastening buttons and writing. On further questioning, he also reports difficulty holding onto things and walking. On physical examination, he has atrophy of the intrinsic muscles of the hands. He has an unsteady gait and has diffuse weakness with upper and lower extremity muscle testing. He has hyperactive deep tendon reflexes in both upper and lower extremities. When he forward flexes his neck, he complains of an "electric shock" sensation radiating into both arms. Which is the most likely pathophysiology underlying his symptoms and findings?

Reference no: EM133633505

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