She had a flattened smile and normal bulbar muscle and tongue

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Lower extremity strength was entirely normal; she could walk on her toes and heels and do multiple deep knee bends. She had a flattened smile and normal bulbar muscle and tongue strength.The deep tendon reflexes (DTRs) were absent at both triceps, reduced at both biceps and brachioradialis muscles kanken, and normal in the lower extremities. There were glove and stocking sensory deficits to all modalities at the ankles and wrists, and decreased pin and touch sensations of both upper extremities, neck and torso down to T7, and in both V2 and V3 trigeminal distributions.

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