A patient with cervical myelopathy reports progressive gait instability and hand clumsiness but no radicular pain. Which examination finding would most strongly support a surgical referral decision?
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A
Positive spurling's test with dermatomal paresthesia
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B
Hyperreflexia, Hoffman's sign, and gait ataxia
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C
Cervical range of motion less than 50% of normal
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D
Positive Phalen's test bilaterally