A 7 yo boy comes in with: -Uncoordinated arm/leg movement and slurred speech. Physical exam shows preserved language ability but gross dysarthria. Boy has staggering gait cant walk without assistance. Strength is 3/5 distal muscle groups and 4/5 proximal groups in upper/lower extremities. Absent patellar and ankle reflexxes. 1. What is likely diagnosis? 2. What causes it? 3. When does it typically occur? 4. What are the classic findings?

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1. A 7 yo boy comes in with: -Uncoordinated arm/leg movement and slurred speech. Physical exam shows preserved language ability but gross dysarthria. Boy has staggering gait cant walk without assistance. Strength is 3/5 distal muscle groups and 4/5 proximal groups in upper/lower extremities. Absent patellar and ankle reflexxes. 1. What is likely diagnosis? 2. What causes it? 3. When does it typically occur? 4. What are the classic findings?