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Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note the wrinkled tongue which differentiates this from an UMN palsy. Dr. Boby Varkey Maramattom @bobvarkey #tongue #atrophy #fasciculations #LMN #hypoglossal #CNXII #CN12 #clinical #video #neurology #physicalexam