Buglaw
Active member
- Joined
- Jun 20, 2022
- Messages
- 79
- Reason
- DX MND
- Diagnosis
- 10/2022
- Country
- US
- State
- IL
- City
- Chicago
Summary page is below. I was told I clearly had upper motor neuron issues in the bulbar region (jaw clonus, speech pattern, vocal chord movement (i think) and maybe some other items) and was told those upper motor neuron issues would not show up on an EMG. I'm positive for hoffman's on both sides, have brisk reflexes and clonus in an achilles. I guess my dysarthria is just spastic.
Focused clinical examination
+diffuse upper body fasciculations
spastic dysarthria
Summary of findings
Nerve Conduction Studies
Sensory nerve conductions were normal.
Motor nerve conduction studies were normal.
Long latency reflexes were normal.
Electromyography
Concentric needle EMG was performed in selected muscles of the right upper and lower extremties, tongue, and abdomen. Fasciculations were seen in muscles in the right upper and lower extremities, as well as in the right rectus abdominus. Voluntary contraction of the right triceps elicited polyphasic, at times unstable, motor unit action potentials.
Impression
Abnormal study.
There is electrophysiological evidence of active neuropathic changes in the cervical, thoracic, and lumbosacral regions, consistent with a clinical diagnosis of motor neuronopathy.
1. ORDER EMG/NCV - NEUROLOGY [553091186] ordered by at 10/06/22 1055 |
Pre-procedure Diagnoses |
1. ALS (amyotrophic lateral sclerosis) (CMS-HCC) [G12.21] |
Post-procedure Diagnoses |
1. ALS (amyotrophic lateral sclerosis) (CMS-HCC) [G12.21] |
Procedures |
Focused clinical examination
+diffuse upper body fasciculations
spastic dysarthria
Summary of findings
Nerve Conduction Studies
Sensory nerve conductions were normal.
Motor nerve conduction studies were normal.
Long latency reflexes were normal.
Electromyography
Concentric needle EMG was performed in selected muscles of the right upper and lower extremties, tongue, and abdomen. Fasciculations were seen in muscles in the right upper and lower extremities, as well as in the right rectus abdominus. Voluntary contraction of the right triceps elicited polyphasic, at times unstable, motor unit action potentials.
Impression
Abnormal study.
There is electrophysiological evidence of active neuropathic changes in the cervical, thoracic, and lumbosacral regions, consistent with a clinical diagnosis of motor neuronopathy.