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vazhdon rasti


The strength of the legs was normal except for
toe-extension strength, which was 4/5 bilaterally.
Vibratory sensation was markedly reduced in the
toes and intact at the ankles; the sensation of a pinprick
was decreased distal to the left ankle and in
the right toes. The deep-tendon reflexes were ++
and symmetric throughout; the plantar responses
were flexor. There was no tremor. The results of
finger-to-nose testing were normal. She could walk
on her heels or toes and performed tandem walking
well. The result of Romberg’s test was negative.
Tinel’s sign was absent at the right carpal tunnel
and elbow.
The results of laboratory tests are shown in Table
1. Serum protein electrophoresis yielded a normal
pattern with a slight, diffuse increase in the
gamma globulin level. Tests for antibodies against
myelin-associated glycoprotein and neuronal nuclear
antigen were negative, and DNA sequencing
of alleles 1 and 2 of the gene encoding transthy-