kawinpr
Member
- Joined
- Feb 1, 2017
- Messages
- 14
- Reason
- Learn about ALS
- Country
- US
- State
- NY
- City
- Queens
Hi there,
Thank you so much for being here. This is the first time I post here. I'm from Thailand and English is my second language, so I apologize in advance. I will try to be as clear as I can.
My symptoms have started for about 1 - 1.5 months now including weakness in left leg and left arm and fasciculations all over the place (legs, arms, abdomen, back, eyelid and lip).
Nerve conduction study (4 limbs) and EMG (legs and left arm) were performed.
NCS: Sensory nerve conduction study of the bilateral sural and superficial peroneal nerves were normal. Sensory nerve conduction studies of the bilateral median, ulnar and radial nerves were normal.
EMG: Monopolar needle EMG examination of seleced muscles in the left upper and bilateral lower extemities representing C5-T1 and L2-S2 myotomes respectively showed mild ongoing denervation in bilateral gastrocnemius and bilateral biceps femoris muscles. EMG of bilateral lower lumbosacral paraspinal muscles showed mild ongoing denervation. EMG of the left mid thoracic paraspinal muscles and genioglosus muscles was normal.
Impression: ABNORMAL study. These electrophysiologic findings are suggestive of mild, ongoing, bilateral lower lumbosacral (L5-S1) radiculopathy. There electrophysiologic findings still do not fulfill the electrophysiologic diagnostic criteria for generalized disorder of motor neuron and their axons.
Also, MRI of lumbosacral spine was performed:
All normal, except: Diffusely mild T2 hypointense, mild degenative discs are visualized from L3 to S1, no significant decrease in disc height and no associated disc herniations, described as the following: At L3-4, At L4-5 and At L5-S1: mild diffuse disc degenrative bulging; still normal central and lateral spinal canals are seen and no compressive lesions to nerve roots are demonstrated.
So, what worrying me is MRI of L-spine is clear, no nerve root compression to cause denervation. Does this look like early findings of ALS or other conditions? I feel like everything is pointing towards MND. I'm very worried.
I attached photos of NCS and EMG findings.
Thank you for any information. It means a lot to me during this difficult time.
Thank you so much for being here. This is the first time I post here. I'm from Thailand and English is my second language, so I apologize in advance. I will try to be as clear as I can.
My symptoms have started for about 1 - 1.5 months now including weakness in left leg and left arm and fasciculations all over the place (legs, arms, abdomen, back, eyelid and lip).
Nerve conduction study (4 limbs) and EMG (legs and left arm) were performed.
NCS: Sensory nerve conduction study of the bilateral sural and superficial peroneal nerves were normal. Sensory nerve conduction studies of the bilateral median, ulnar and radial nerves were normal.
EMG: Monopolar needle EMG examination of seleced muscles in the left upper and bilateral lower extemities representing C5-T1 and L2-S2 myotomes respectively showed mild ongoing denervation in bilateral gastrocnemius and bilateral biceps femoris muscles. EMG of bilateral lower lumbosacral paraspinal muscles showed mild ongoing denervation. EMG of the left mid thoracic paraspinal muscles and genioglosus muscles was normal.
Impression: ABNORMAL study. These electrophysiologic findings are suggestive of mild, ongoing, bilateral lower lumbosacral (L5-S1) radiculopathy. There electrophysiologic findings still do not fulfill the electrophysiologic diagnostic criteria for generalized disorder of motor neuron and their axons.
Also, MRI of lumbosacral spine was performed:
All normal, except: Diffusely mild T2 hypointense, mild degenative discs are visualized from L3 to S1, no significant decrease in disc height and no associated disc herniations, described as the following: At L3-4, At L4-5 and At L5-S1: mild diffuse disc degenrative bulging; still normal central and lateral spinal canals are seen and no compressive lesions to nerve roots are demonstrated.
So, what worrying me is MRI of L-spine is clear, no nerve root compression to cause denervation. Does this look like early findings of ALS or other conditions? I feel like everything is pointing towards MND. I'm very worried.
I attached photos of NCS and EMG findings.
Thank you for any information. It means a lot to me during this difficult time.