andrewdunn
New member
- Joined
- Dec 22, 2018
- Messages
- 3
- Reason
- Learn about ALS
- Country
- UK
- State
- London
- City
- London
Thank you in advance for reading my post and apologies if some of my questions are not consistent with the sticky notes.
I am 27, male. For the past four months I have perceived weakness and feeling of numbness in left arm and leg which tend to come and go. The numbness is usually more persistent in my leg. The leg also feels tired quite often when I walk. I also have widespread twitching since the symptoms onset which is also not always present. The symptoms doesn’t seem to progress for now.
I had an EMG which was clean back in October. The neuro told me that my reflexes are a bit brisk but nothing to worry about.
Now in December I decided to go to a reputable clinic and have more tests done. Had another EMG which was clean as well. Blood test also came back normal.
All of the three neurologists performed a neuro exam and their conclusion was that I have normal gait.
However, according to the report I also had assymetric reflexes, more briskier on the left side of the body. This was especially the case for the knee reflex on the left where the reflex is said to be polykynetic (I think this means couple of muscle contractions). I asked one of the neuros and he said yes it is more briskier but nor pathological because of the reflector zone( no idea). Hoffman sign was positive and plantar reflexon the left is negative (but the report says a bit weak or oppressed, depending on the translation). No sensitivity issues.
They said it is absolutely nothing to worry about and it is probably mainly due to anxiety. One of the neurologists was more worried about MS but the other said is very unlikely. They said I can do an MRI for peace of mind to rule out MS or pinched nerve, but to me it seemed more like they don’t believe it at all.
I am confused because the opinion of the neuros is consistent but isn’t assymetry always abnormal (also Hoffman sign +). I am afraid that they neglect it because I am young. It can’t be a coincidence that reflexes are not normal on the left side where my symptoms are present.
My questions is, do you think it could be ALS starting with UMN (which they just exclude don’t mention for some reason ) and it is worth further investigation or just leave it as it is ?
Thank you in advance and have a nice holidays !
I am 27, male. For the past four months I have perceived weakness and feeling of numbness in left arm and leg which tend to come and go. The numbness is usually more persistent in my leg. The leg also feels tired quite often when I walk. I also have widespread twitching since the symptoms onset which is also not always present. The symptoms doesn’t seem to progress for now.
I had an EMG which was clean back in October. The neuro told me that my reflexes are a bit brisk but nothing to worry about.
Now in December I decided to go to a reputable clinic and have more tests done. Had another EMG which was clean as well. Blood test also came back normal.
All of the three neurologists performed a neuro exam and their conclusion was that I have normal gait.
However, according to the report I also had assymetric reflexes, more briskier on the left side of the body. This was especially the case for the knee reflex on the left where the reflex is said to be polykynetic (I think this means couple of muscle contractions). I asked one of the neuros and he said yes it is more briskier but nor pathological because of the reflector zone( no idea). Hoffman sign was positive and plantar reflexon the left is negative (but the report says a bit weak or oppressed, depending on the translation). No sensitivity issues.
They said it is absolutely nothing to worry about and it is probably mainly due to anxiety. One of the neurologists was more worried about MS but the other said is very unlikely. They said I can do an MRI for peace of mind to rule out MS or pinched nerve, but to me it seemed more like they don’t believe it at all.
I am confused because the opinion of the neuros is consistent but isn’t assymetry always abnormal (also Hoffman sign +). I am afraid that they neglect it because I am young. It can’t be a coincidence that reflexes are not normal on the left side where my symptoms are present.
My questions is, do you think it could be ALS starting with UMN (which they just exclude don’t mention for some reason ) and it is worth further investigation or just leave it as it is ?
Thank you in advance and have a nice holidays !
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