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MediumNeurologyMotor Neurone Disease (MND)ukmlamrcp part 1

A 68-year-old man presents with progressive weakness in his arms and legs, muscle twitching (fasciculations), and slurring of speech. Examination reveals wasting and fasciculations in the tongue and limb muscles, brisk reflexes, and extensor plantar responses. Sensation is intact. What is the most likely diagnosis?

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