Presentation
Progressive slurring of speech with nasal twang
Patient Data
Age: 50 years
Gender: Male
From the case:
Motor neuron disease


















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Info

Symmetrical hyperintensities are seen along bilateral corticospinal tracts. Subtle hypointensities are seen in bilateral precentral gyri on GRE and T2 images.
Case Discussion
In the given clinical context, the MRI findings suggest possibility of motor neuron disease eg. amyotrophic lateral sclerosis. Slurring of speech is often an initial clinical symptom of the disease.