Our doc at the
ALS Clinic states it has to be both upper & lower involvement. Jim has UMN - they are waiting to see if it progresses to include muscle atrophy. Confused me because his sx were at the time mostly lower extremity. Per neuro - the upper controls the reflex/nerve part of the neuron and the lower the muscular part of the neuron - best laymans terms he could give me. Made a little more sense. (Not fully though)
Therefore, he has
MND/
ALS syndrome.