Are fasciculations necessary for ALS diagnosis?

[wayne_md]

Does ALS have to have fasciculations? I rarely have fasciculations (maybe twice in the last six months), but I have a strange weakening feeling in my left arm. I don't think I'm necessarily weaker, but it just feels strange. Has anyone ever heard of ALS without the fasciculations? Thanks.

[Al]

Anything is possible with this disease Wayne. Fasciculations don't usually "feel" strange. They look strange but until they involve the bigger muscles you don't usually feel them. AL.