Hello again i have not posted in some time do to the quest for a final diagnosis. The final diagnosis is slow limb onset
als. I just took a pulmanary funtion test which was not very good. maximal expertory pressure was 29% of normal the maximal inspitory pressure was 79%. My diagnosis has been a tough one in the sense i have many atypical symptoms of
als like vascular dementia, neurogenic bladder and mild to moderate pain. emgs and there have been many are not perfect for
als but suggestive of
als. neurological exam show diffuse atrophy entire body which started in my left hand and then spread sporadic fasciculations, hyperactive reflexes with clonus hoffmans sign postive.I have dysphasia but can still walk. what the doctors at hopkins and mayo say is that i have a rare slow form and some atypical features but all other mimics have been ruled out and progression has been slow but steady. just wondering any one out there diagnosed with
als in there twenties with the sporadic form. also any info from fellow amyotrophics would be great. ps. i hope every one got a chance to read lou gerhigs letters they just released they really touched me.
thanks