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if a person has a month history of hand weakness,
intermittent tingling of the
small fingers of his hands, and mild neck pain.
Examination shows
wasting, weakness, and fasciculations of the
interossei muscles. Sensation
is decreased to pinprick and vibration in the small
fingers of each
hand. Triceps tendon reflexes are decreased

Which
of the following is
the most likely diagnosis?

Amyotrophic lateral sclerosis
or

Cervical spondylosis????

ALS has no sensory manifestations. The picture above is simply a lateral cord lesion affecting both the ulnar and radial nerves, secondary to cervical spondylosis

cervical spondylosis as in als there is no sensory problem