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Varón de 64 años actor de profesión que comienza a notar desde hace unos meses cambios en la voz asociando además problemas para tragar. Usted en la exploración detecta reflejos aumentados con atrofia en la musculatura de las manos. En la inspección de la musculatura observa fasiculaciones a nivel pectoral y dorsal. Sobre la enfermedad que sospecha:

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