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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease



Note the wrinkled tongue which differentiates this from an UMN palsy.



Dr. Boby Varkey Maramattom @bobvarkey



#tongue #atrophy #fasciculations #LMN #hypoglossal #CNXII #CN12 #clinical #video #neurology #physicalexam
Contributed by

Boby Varkey Maramattom
@bobvarkey
Lead consultant Neurologist, Aster Medcity, Kochi, India. 
Internal medicine faculty Royal college of UK
https://twitter.com/bobvarkey
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