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dvjcool

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Loved one DX
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somewhere
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Hello friends
My father was diagnosed with MND in April 2016 having weakness in hands and diaphragm.
He later also tested positive for Lyme's and was given doxy. We saw some improvement but then his condition started getting worse. In August he had respiratory failure and was on ventilator for about 2 months. Later he recovered and was able to breath comfortably in room air but using bipap/o2 at night. . He also started going on long walks (2-3 km). Docs also started suggesting this could be Lyme but all tests came negative this time.
In Jan 17. He caught viral,had a weak cough reflex and again was ventilated in Feb 2017. Surprisingly, we found he has HCV with a high viral load (this is unexplained as he never had blood transfusion). He is on anti hcv therapy now. He is off ventilator and is going on long walks. But using bipap at night.
We had his USG done in May 17 and right hemidiaphragm was paralysed. However when usg was repeated in July 17, both L and R hemidiaphragms were moving. We have referred his case to several leading hospitals and neurophysicians but all are confirming MND but are also agreeing that he has partly improved.
Also his symptoms are limited to arms, hands and diaphragm only. There have been no bullbur signs or weakness in any other body part. Although EMG/NCS has confirmed damagenin legs and trunk also in April 16.
This is very confusing and troubling as we don't want to miss treating any treatable condition. Can anyone guide us if they have come across any such case / any doc or institute who can help us. I shall be willing to send all medical reports by email.

Look forward to hear.

Regards
Digvijay
 
HCV and ALS-like symptoms have been linked. It sounds like you have gotten several opinions that have looked for other mimics, so if he continues with the anti-HCV treatment, there could be further improvement.

Best,
Laurie
 
Thnx. I hope so. . But the docs are damn sure that his condition in unrelated to. HCV. Though they don't have any explanation for his improvement. I do agree and hope that his condition is because of Hcv but when every neurophysician I have consulted has disregarded this.
 
There have been sporadic instances of ALS patients responding to anti-viral treatments.
One proposed reason hypothesized that HERV-K had expressed, and responded to the anti-viral.
 
If his diaphragm was truly paralyzed, meaning the phrenic nerve wasnt working to innervate the muscle, I dont see how that would improve. However, some viruses live in the nerves so treating a virus could show improvement.
 
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