HY USMLE Q #1615 – Neuro

A 33-year-old woman comes to the physician for a 2-day history of worsening visual acuity in her left eye. Ophthalmologic examination shows 20/300 visual acuity in the left eye; the right eye is 20/20. A bilateral Babinski sign is seen. BMI is 35. Which of the following is the most likely explanation for this patient’s findings?

A) Amyotrophic lateral sclerosis
B) Charcot-Marie-Tooth disease
C) Chronic inflammatory demyelinating polyneuropathy
D) Devic syndrome
E) Multiple sclerosis

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