Let's start from topmost S.To reach bottommost S from here one way is LLLLRRRR where L=left and R= right.
Another way is RLLLLRRR yet another is RRRRLLLL. Observe the pattern in the strings we are making. Each string is of length 8 having 4L's and 4R's So 8C4 such strings possible.
Similarly to reach from bottommost S to topmost S yet another 8C4 ways. Total 2* 8C4 ways. Option A.