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After giving birth, a 25-year-old woman developed increased weakness in her legs and unsteady walking. She has been suffering from this condition for 6 years already. Every autumn, she notes a deterioration of her condition. Objectively, the woman is euphoric and exhibits a reduced critical attitude towards her condition. She has horizontal nystagmus, high tendon reflexes, foot clonus, pathological foot reflexes, no abdominal reflexes, ataxia during the Romberg test, and intentional tremor and missing during coordination tests. Temporal pallor of the optic discs is observed on the eye fundus. What is the most likely diagnosis in this case?a.Myasthenia gravisb.Multiple sclerosisc.Acute disseminated encephalomyelitisd.Amyotrophic lateral sclerosise.Dyscirculatory encephalopathy
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