4tloml
Senior member
- Joined
- Sep 15, 2014
- Messages
- 578
- Reason
- CALS
- Diagnosis
- 04/2013
- Country
- US
- State
- CA
- City
- Suburban
I am wondering if anyone has experienced symptoms developing along these lines, because my husband seems an enigma to the 3 neurologists who are passing him around.
A year and a half ago, my husband's speech became notably slurred. I had noticed a tremor in his hand and occasional slurring a little before and asked him about it, but that day he called and said he was having difficulty even forming the words. PC doc ordered MRI and sent him to first neurologist who showed me the fasciculations in his tongue and diagnosed him with bulbar onset ALS and ordered EMG with ALS specialist.
ALS specialist said there were abnormalities in EMG/NC, but something didn't "look quite like ALS" and sent him to movement disorder specialist. That neurologist thought it might be multiple system atrophy (a Parkinson plus disorder). However, at his last visit a few weeks ago, she noticed serious atrophy of his right (dominant) hand and arm. (Upper arm measures 2" less than non-dominant left arm.) That happened very quickly--we were shocked we hadn't even noticed. She's now sending him back to ALS doctor for another EMG and MRI.
Meanwhile, his speech is extremely difficult, as is eating (moving food around with tongue). He has learned swallowing and breathing techniques from the speech therapist, but feels out of breath a lot and feels like he has to take in all the air he can just to try to finish a sentence. Also a lot of hiccups--daily, in fact. I feel fasciculations in his arm, hand, and chest/side/back when I have my arm around him at night. The emotional lability is giving him a lot of trouble, even on the neudexta. If we walk very much, his legs get very stiff. (I think they are getting smaller, but we didn't measure them.) He has an AVP (auto BiPAP) unit at night that kicks in when he stops breathing and that took him from 35 episodes an hour down to around 5. He is still working, but so tired now when he gets home I don't know how much longer he can.
He's negative for Kennedy's and Myasthenia Gravis. Since muscle atrophy is not a symptom of MSA we are looking at ALS again. It's been 1 1/2 years and all of the sudden it seems things are starting to progress more quickly, so we're feeling time closing in on us, especially still not knowing what we're dealing with. Does any of this look familiar to any of you?
Thank you for any comments. I can't say I know, but I can imagine how challenging even writing a response can be. Please know I am grateful.
A year and a half ago, my husband's speech became notably slurred. I had noticed a tremor in his hand and occasional slurring a little before and asked him about it, but that day he called and said he was having difficulty even forming the words. PC doc ordered MRI and sent him to first neurologist who showed me the fasciculations in his tongue and diagnosed him with bulbar onset ALS and ordered EMG with ALS specialist.
ALS specialist said there were abnormalities in EMG/NC, but something didn't "look quite like ALS" and sent him to movement disorder specialist. That neurologist thought it might be multiple system atrophy (a Parkinson plus disorder). However, at his last visit a few weeks ago, she noticed serious atrophy of his right (dominant) hand and arm. (Upper arm measures 2" less than non-dominant left arm.) That happened very quickly--we were shocked we hadn't even noticed. She's now sending him back to ALS doctor for another EMG and MRI.
Meanwhile, his speech is extremely difficult, as is eating (moving food around with tongue). He has learned swallowing and breathing techniques from the speech therapist, but feels out of breath a lot and feels like he has to take in all the air he can just to try to finish a sentence. Also a lot of hiccups--daily, in fact. I feel fasciculations in his arm, hand, and chest/side/back when I have my arm around him at night. The emotional lability is giving him a lot of trouble, even on the neudexta. If we walk very much, his legs get very stiff. (I think they are getting smaller, but we didn't measure them.) He has an AVP (auto BiPAP) unit at night that kicks in when he stops breathing and that took him from 35 episodes an hour down to around 5. He is still working, but so tired now when he gets home I don't know how much longer he can.
He's negative for Kennedy's and Myasthenia Gravis. Since muscle atrophy is not a symptom of MSA we are looking at ALS again. It's been 1 1/2 years and all of the sudden it seems things are starting to progress more quickly, so we're feeling time closing in on us, especially still not knowing what we're dealing with. Does any of this look familiar to any of you?
Thank you for any comments. I can't say I know, but I can imagine how challenging even writing a response can be. Please know I am grateful.