wright
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Rose, I know you just got done shutting down your thread about your EMG, but I think I need to state a few things that relate to it. It's not only for your benefit . . . but also . . . for the benefit of others on here.
I copied what I wrote when I got the message your thread was closed, so I have simply pasted it here. It reads as follows:
Jeff's reply is a good one and brings home a good point, which causes me to qualify what I stated in my reply to you.
In my post, I was referring to the progression of ALS and how it starts focally and then spreads, eventually becoming global. Then . . . and only then . . . can you be diagnosed with ALS. This is dictated by the El Escorial criteria. If you do not meet those criteria, then you cannot be diagnosed with definite ALS.
There are also different categories defined by El Escorial: suspected ALS, possible ALS, probable ALS and definite ALS. You can only be diagnosed with ALS if you lie under the "definite" designation.
If all that has been found thus far, are pathological symptoms in your bulbar region, then you do not have a diagnosis of definite ALS. It needs to spread to other regions of your body. If it doesn't, then you will be diagnosed with bulbar palsy . . . and if your symptoms never spread beyond your bulbar region . . . then that diagnosis cannot change.
I copied what I wrote when I got the message your thread was closed, so I have simply pasted it here. It reads as follows:
Jeff's reply is a good one and brings home a good point, which causes me to qualify what I stated in my reply to you.
In my post, I was referring to the progression of ALS and how it starts focally and then spreads, eventually becoming global. Then . . . and only then . . . can you be diagnosed with ALS. This is dictated by the El Escorial criteria. If you do not meet those criteria, then you cannot be diagnosed with definite ALS.
There are also different categories defined by El Escorial: suspected ALS, possible ALS, probable ALS and definite ALS. You can only be diagnosed with ALS if you lie under the "definite" designation.
If all that has been found thus far, are pathological symptoms in your bulbar region, then you do not have a diagnosis of definite ALS. It needs to spread to other regions of your body. If it doesn't, then you will be diagnosed with bulbar palsy . . . and if your symptoms never spread beyond your bulbar region . . . then that diagnosis cannot change.