Article Text
Neurological picture
Vertebrogenic dysphagia and gait disturbance mimicking motor neuron disease
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A 60 year old man was admitted with a 1–2 year history of increasing dysphagia causing weight loss and a 5–10 year history of progressive gait disturbance with stiffness and muscle twitches in both legs. Urgency micturition had recently developed, which was ascribed to the patient's known hypertrophy of the prostate. Except for prostatism and lumbago, his medical history was unremarkable. Although the family history was incomplete, it was known that the patient's father and three siblings all had developed difficulty with walking in midlife. …