This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Amyotrophic Lateral Sclerosis and other motor neuron diseases, Subject name: Medicine
Which of the following is not seen in A.L.S 
Select and explain. 
A. Weakness of extremities, B. Tongue Fasciculation, C. Bulbar Palsy, D. Eye involvement
D: Eye involvement
Answer: D: Eye involvement 
Explanation: A.L.S presents with following clinical features: Weakness of extremities Fasciculation of tongue Decreased tone i.e Hypotonia Normal higher mental functions No eye involvement-->No ptosis Bulbar palsy : 9 /10 / 12th nerve palsy No bladder / Bowel involvement Most common cause for death in motor neuron disease is respiratory failure