![]() The third understanding I have is that an EMG can not be done too early and if twitching was caused my MND or ALS it would be picked up. My was done 5 months after the twitching started. The second understanding I have is a clean EMG (other than one that picks up fasciculation's)=no ALS. The first understanding I have is true tongue fasciculation's while the tongue is at rest=ALS. However, the diagnosis of amyotrophic lateral sclerosis (ALS) is seen to be more accurate in up to 95 of cases with bilateral presentation but fell to almost 38 in patients with unilateral (hemiparetic) or pseudopolyneuritic forms. I am hoping to clear up three misconceptions that I think I have. ![]() I would like to add that I have two types of twitching on my tongue-tongue twitching I can feel that feels like all the other twitching I experience on my body and tongue twitching I can not feel when my tongue is at rest. She diagnosed me with "fascinations" and said she would see me for a follow up in August (6 months from now which would be 17 months into twitching) where she will do a clinical and EMG. I finally was able to see a neurologist this week (11 months into twitching) and she confirmed I had some tongue fascinations while my tongue was at rest (that I can not feel), mildly bilateral brisk reflexes and a positive Hoffmans sign-otherwise everything else was normal. 5 months into the twitching, I got an EMG that picked up rare fasciculation in my left calf (which has been persistently twitching nonstop for 2 months) and the findings stated there were no signs of anything ominous and that my fasciculation's were most likely consistent with Benign Fasciculation Syndrome. 11 months ago, I started experiencing localized twitching in my left bicep, and just days after, started experiencing body wide twitching, including my tongue. First of which threw the ALS suggestion at me in our first visit. since 2001 and seen three neuros in that time (EMG, NCV, MRI, etc.). Ive had weird fasics, perceived weakness, etc. I was referred by my GP to a neurologist for brisk reflexes on one side of my body. No further action was taken and I was told everything was within normal range. I appreciate all response I have been a lurker to these forums and BFS forums since I started twitching but waited until I saw a neurologist to post. Had a question regarding asymmetrical hyperreflexia. While testing my reflexes the Neurologist noted that my right arm reflex wasn't as strong as my left (1+) and that my knee reflexes were 'brisk' (3+ I believe) The knee reflexes seemed normal for me but I'm unsure about my arm reflex. Good afternoon everyone and thank you so much to anyone who reads and offers insights to my questions.
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