He has been disabled for 12 years and currently lives alone. He smoked 2 packs of cigarettes a day for 30 years but quit two years ago. In the past he was a heavy drinker but now has only occasional binges of beer drinking. He has 3 children. His speech is fluent without paraphasic errors.
Language is intact with normal comprehension, naming, repetition, reading, and writing.
Short and long term memory are intact to bedside testing. There was no cogwheel rigidity or tremor. There was marked atrophy of the intrinsic hand muscles and thenar and hypothenar eminences on the right side. There was moderate atrophy of the intrinsic hand muscles on the left side. There was marked atrophy of the left calf muscles.