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perplexed

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Hi Everyone,
More confused but par for the course, right? My husband had a second single-fiber EMG and a tongue EMG today - both were normal. BUT - the doctors found his tongue muscle is weak and one reflex is brisk. When they told him to stick out his tongue, it goes sideways a little, unnoticed by him. They say the reflex (arm) being brisk isn't worrisome, he has no atrophy or weakness, and the normal EMGs ruled out myasthenia gravis. Clearly, we're still worried about ALS. Never thought I'd be hoping for myasthenia gravis.

Can two clean EMGs progress into abnormal EMGs and hence an ALS diagnosed? What else could this be? He's had swallowing problems (is on soups and liquids and meals-in-a-can now), lots of saliva and pooling issues, but - the clean EMGs and not myasthenia.

They said that he "currently" has not the criteria for ALS - it's so frustrating. Either it's in you or it isn't, so how can EMGs not tell you?

I was wondering about Kennedy's Disease, myopathies, mitochondria?


Any advice or wisdom to contribute?
Many thanks in advance,
E.
 
E., there is a DNA blood test that can conclusively determine if it is Kennedy's Disease. The doctor/nurse can draw the blood and send it off to a DNA testing lab. The answer should come back in 3-6 weeks.

For more information on Kennedy's Disease and the test, please click on the following links:
Kennedy's Disease: http://www.kennedysdisease.org/about.html
DNA Test: http://216.245.161.151/TestView.aspx?testID=2471

I hope this helps,
BAGS
 
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