case_images: PMC11650128_01
case_images: Clicked picture of the hands showing muscle wasting.
case_images: gr1.jpg
case_images: PMC11650128_01_gr1.jpg
case_images: fig0001
case_images: The examination revealed a weak hand grip for both hands with an increased muscle tone and muscle wasting, as shown in Fig. 1.
case_images: Magnetic Resonance Imaging of the brain axial sections T2 weighted imaging (A, B, C), fluid attenuation recovery sequence (D), (E), and (F) showing hyperintense signal involving bilateral corticospinal tracts, bilateral internal capsule, extending superiorly up to the motor cortex and inferiorly up to the cerebral peduncles of the midbrain (orange arrows) suggesting amyotrophic lateral sclerosis.
case_images: gr2.jpg
case_images: PMC11650128_01_gr2.jpg
case_images: fig0002