Concerning Unilateral hyporeflexia and hand tremor (fasciculation)

[Millyin]

Hi.
I'm a 42 yr old female. I've had multiple concussions playing sports throughout my life, as I was an extremely active, risky child. I suffered a severe brain injury 9/2022 with large frontal lobe subdural hematoma and two hemorrhages followed by craniotomy. I recovered quickly and went back to work 3 weeks later. I have recently had trouble with L hand weakness, dropping glasses , difficulty typing. I went to my check up with the neurologist and I had hypoactive reflexes upper and lower on L side with L hand tremor. Hyperreflexia on the Right. My neurologist ordered an MRI of the brain with and without contrast. I am very concerned that these symptoms seem to have come out of no where. I am typically a very relaxed person and rarely worry. Especially, after surviving such a horrible brain bleed. I know I am at higher risk for some neurodegenerative conditions due to my TBI history. Does this seem like an overreaction?

 

[lgelb]

It does seem premature to jump to ALS, yes. The odds are still very much in your favor on that one. An MRI, that may be followed by a CT and/or other tests, is certainly appropriate to rule out follow-on clots/bleeds/lesions.

ALS typically does not come out of nowhere in the way that you describe.

Let the evaluation process play out and meanwhile live your life.