A Patient Reports Difficulty with Holding Eating Utensils and Writing

A patient reports difficulty with holding eating utensils and writing but denies difficulty when using the left hand.Upon physical examination,fasciculations and a positive Babinski sign are noted in the right upper extremity.Which of the following is the MOST likely diagnosis?

A) Acute poliomyelitis
B) Charcot-Marie-Tooth disease
C) Guillain-Barré syndrome
D) Amyotrophic lateral sclerosis

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