ABPMR Neuromuscular Medicine

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A 62-year-old presents with progressive asymmetric limb weakness, fasciculations, tongue atrophy, and brisk reflexes with Babinski signs. Needle EMG shows widespread active denervation and chronic reinnervation in bulbar, cervical, thoracic, and lumbosacral regions. Per the Awaji criteria, how is this patient classified?

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