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Tongue atrophy and fasciculations in a patient with amyotrophic lateral sclerosis

Tongue atrophy and fasciculations in a patient with amyotrophic lateral sclerosis
There is tongue atrophy and weakness. Tongue fasciculations and the characteristic "can of worms" appearance are evident. The patient has difficulty protruding the tongue.
Courtesy of Nestor Galvez-Jimenez, MD, FACP.
Graphic 63510 Version 4.0