By the time there is regeneration of the peripheral nerve, the signs of CNS involvement may be predominant, including hyperreflexia, increased muscle tone and spastic gait
We report the case of a 69-year-old man who initially presented with weakness and spastic gait
When the WMDP evaluated her in June of 2006, at the age of 20, she was noted to have palatal myoclonus, bulbar dysfunction, spastic gait
ataxia, and a spastic bladder.
The patient's brisk reflexes, spastic gait
, proprioceptive loss, and history of urinary incontinence were clues toward a predominantly spinal cord localization of his symptoms (i.