A 78 year-old male presents to your multi-disciplinary clini…
A 78 year-old male presents to your multi-disciplinary clinic for a baseline evaluation of speech and swallowing function. The medical history is significant for progressive weakness of the right arm and leg. Additionally, examinations reveal hyperreflexia and weakness of the right lower face, right lingual fasciculations and diffuse atrophy. Perceptually, the patient’s vocal quality is strained. The patient exhibits signs of pseudobulbar affect and denies knowledge of his deficits. A. Does this patient exhibit UMN signs, LMN signs, or both? Explain your answer (2 points).