Tongue Fasciculations in Kennedy's Disease A man in his 40’s with progressive nasal twang, dysphagia and weakness climbing stairs. Exam from the front shows a pectoral crease (sign of trapezius weakness & gynecomastia). Final Dx- Kennedy’s disease: X-linked slowly progressive adult-onset disease characterized by muscle weakness - Spinobulbar distribution & Gynecomastia . Treatment is symptomatic and supportive, and life expectancy is normal. Dr. Boby Varkey Maramattom @bobvarkey #Tongue #Fasciculations #Kennedys #Disease #clinical #video #physicalexam #neurology
