Gardenerforlife
New member
- Joined
- Feb 15, 2024
- Messages
- 9
- Reason
- Learn about ALS
- Diagnosis
- 00/0000
- Country
- US
- State
- MD
Hello.
First of all, THANK YOU for being here, and being so generous with your expertise.
I posted before but the tread has closed.
Thread 'Differential Diagnosis Without MRI?'
Differential Diagnosis Without MRI?
Long story short—about 6 months ago I went to pc doc because of weakness in left leg. She sent me to a neurologist, who ordered MRIs but I thought could not get them because of metal implant. eventually I was able to get MRIs that did not show any cause. I was referred to a neurophysiologist who noted leg atrophy, an inability to stand on heals, and absent ankle pulse but otherwise all was normal. She sent me to PT who sent me back to neurologist. Neurologist sent me for an EMG of problem leg.
Unfortunately, I can’t download the report for posting, but basically the nerve conduction test was normal as were all the leg muscles tested except the gastrocnemius, which showed acute and chronic denervation. IA is increased, fib 2+, PSW 2+, no fasciculatuons, amp increased and recruitment slightly reduced.
Given that I have no fasciculatuons and the atrophy and denervation is limited to one muscle, can ALS be ruled out?
Thank you in advance.
Sorry. I meant absent ankle reflex—not pulse.
First of all, THANK YOU for being here, and being so generous with your expertise.
I posted before but the tread has closed.
Thread 'Differential Diagnosis Without MRI?'
Differential Diagnosis Without MRI?
Long story short—about 6 months ago I went to pc doc because of weakness in left leg. She sent me to a neurologist, who ordered MRIs but I thought could not get them because of metal implant. eventually I was able to get MRIs that did not show any cause. I was referred to a neurophysiologist who noted leg atrophy, an inability to stand on heals, and absent ankle pulse but otherwise all was normal. She sent me to PT who sent me back to neurologist. Neurologist sent me for an EMG of problem leg.
Unfortunately, I can’t download the report for posting, but basically the nerve conduction test was normal as were all the leg muscles tested except the gastrocnemius, which showed acute and chronic denervation. IA is increased, fib 2+, PSW 2+, no fasciculatuons, amp increased and recruitment slightly reduced.
Given that I have no fasciculatuons and the atrophy and denervation is limited to one muscle, can ALS be ruled out?
Thank you in advance.
Sorry. I meant absent ankle reflex—not pulse.