grgizi121
Member
- Joined
- May 13, 2013
- Messages
- 21
- Reason
- CALS
- Diagnosis
- 05/2013
- Country
- UK
- City
- Birmingham
My husband (41) was referred by GP for suspected Carpel tunnel, then trapped ulnar nerve, then brachial plexopathy it now seems from the EMG results
MRI clear for spine and shoulder.
He went to see GP as he was struggling gripping lifting things and had noticed twitching getting worse in shoulder/ arm, and his muscle had visibly shrunk in that arm. I was sure I could see twitching in other arm but was hoping I was being a bit paranoid!
First neurologist he saw couple of days ago said he was 'concerned he was showing signs of MND'
Apparently he has, twitching in all four limbs visible when resting, brisk reflexes in initial arm, visible wastage/weakness in initial arm/ shoulder
Now waiting for another EMG for all limbs and brain MRI
My question is this, I keep reading that MND is hard to diagnose, and lots of other conditions mimic it, but what are these? I am desperately searching for other possible causes online and going round in circles.
My husband went to see GP again for help sleeping. she said 'it could still be lots of their things' but then refused the say what! When I asked the neurologist what else it could be he didn't really answer the question and said 'we can check the brain'
I have his initial EMG copied below, does this mean anything to anyone. Would anything suggest another condition?
I am sure many of you can understand when I say I just need to know either way so we can start to move on with it and deal with whatever he has. I am a very worried wife and mother of a 4 year old son and a 1 year old daughter.
Thank you so much for looking x
EMG findings copied below:
Clinically there is wasting over left upper limb
EMG/NSC findings
Sensory responses over left upper limb were normal and comparable to right asymptomatic side however his left dorsal ulnar sensory response is reduced compared to the right
Motor studies over left ulnar nerve showed mild and borderline slowing across the elbow
Median motor studies were normal
Concenctric needle EMG examination (see attached) ....which I don't have sorry!
Conclusion
The study provides electrophysiological support for very mild borderline left ulnar nerve entrapment at the elbow. However, these changes are minimal and cannot account for this patient symptoms. The electrophysiological finding of diffuse active denervation changes on concentric needle EMG examination strongly suggestive brachial plexopathy
I feel further investigation including neuro-imaging of the plexus as well as cervical, and upper thoracic spines should be considered as matter of urgency
? Neuro imaging was not revealing, repeat study in 2 to 3 months time would be useful. Please keep me posted
MRI clear for spine and shoulder.
He went to see GP as he was struggling gripping lifting things and had noticed twitching getting worse in shoulder/ arm, and his muscle had visibly shrunk in that arm. I was sure I could see twitching in other arm but was hoping I was being a bit paranoid!
First neurologist he saw couple of days ago said he was 'concerned he was showing signs of MND'
Apparently he has, twitching in all four limbs visible when resting, brisk reflexes in initial arm, visible wastage/weakness in initial arm/ shoulder
Now waiting for another EMG for all limbs and brain MRI
My question is this, I keep reading that MND is hard to diagnose, and lots of other conditions mimic it, but what are these? I am desperately searching for other possible causes online and going round in circles.
My husband went to see GP again for help sleeping. she said 'it could still be lots of their things' but then refused the say what! When I asked the neurologist what else it could be he didn't really answer the question and said 'we can check the brain'
I have his initial EMG copied below, does this mean anything to anyone. Would anything suggest another condition?
I am sure many of you can understand when I say I just need to know either way so we can start to move on with it and deal with whatever he has. I am a very worried wife and mother of a 4 year old son and a 1 year old daughter.
Thank you so much for looking x
EMG findings copied below:
Clinically there is wasting over left upper limb
EMG/NSC findings
Sensory responses over left upper limb were normal and comparable to right asymptomatic side however his left dorsal ulnar sensory response is reduced compared to the right
Motor studies over left ulnar nerve showed mild and borderline slowing across the elbow
Median motor studies were normal
Concenctric needle EMG examination (see attached) ....which I don't have sorry!
Conclusion
The study provides electrophysiological support for very mild borderline left ulnar nerve entrapment at the elbow. However, these changes are minimal and cannot account for this patient symptoms. The electrophysiological finding of diffuse active denervation changes on concentric needle EMG examination strongly suggestive brachial plexopathy
I feel further investigation including neuro-imaging of the plexus as well as cervical, and upper thoracic spines should be considered as matter of urgency
? Neuro imaging was not revealing, repeat study in 2 to 3 months time would be useful. Please keep me posted