Hello Nebrhahe53, I was reading a response to a post you gave in the fall of last year. I have had some concerns that I am working with a Neuro at Mayo in AZ. While I had had left side limb EMG a few weeks ago, plus a brain MRI, all were clear. I still twitch, but now much more so in the bulbar region. No tongue issues. My wife has noticed as have I, that over the past few months, my neck is weaker and weaker. No pain, other then what is a result of fatigue I am guessing. I am not knowingly always holding up my head or resting it. This problem is not getting better. My questions is, when you were presented with neck drop, was there a phase of weakness first over a period of time, or neck drop out of no where? I am going back to my Neuro on Thursday and wanted to get any insight from you on your experience. I thinking I have had neck weakness longer then I know. This site is really an amazing thing to see all the PALS efforts to help people know the facts better!