Hello,
Thank you for your time. I want to be short because I don't want to bother you with my possible insignificant issues.
I was told I have neuralgic amyotrophy(NA) or a brachial plexus disorder. Had an EMG preformed due to twitching in legs, abdomen, and neck. Needed to make sure I was clear of ALS because I also felt like I developed swallowing issues and my the tip of my tongue points to the right a little. Physical preformed by my Dr. and 2 Neuros. completely normal on physicals. No brisk reflexes, no clonus, am able to move my tongue in all ways, perfect balance, no weakness except from NA, only slur when I feel like I am paying attention to when I talk. Wife isn't worried and I haven't had anyone tell me anything about my speech. Breathing feels like I have to yawn to get a big breath but I kind of think that the NA might have messing with my right side of diaphragm not sure on if this is that or something else like GERD. also Jaw hurts but I do have TMJ
translated as best as I could so some might not make sense
FINDINGS:
The neurophysiological study performed on upper and lower limbs shows:
1- Study of conduction of the ulnar, median and musculocutaneous nerve in
its normal motor sensory portions. Axial and sensory motor neurological of
radial and normal medial antebrachial branch.
2- Common posterior and peroneal tibial motor neurography, as well as
superficial and sural sensory peroneal neurography showing normal latency,
amplitude and velocity potentials.
3- Normality of the latency of the F wave of the posterior, medial and ulnar
tibial.
4- Normality of the latency of the response reflects H bilaterally.
5- EMG performed in bilateral L2-S2, bilateral C4-D1, and bulbar muscle
myotomas, which shows absence of denervation activity with interferential
recruitment patterns in all of them. A simple fasciculation is observed in
the left anterior tibial, without accompanying denervative activity. As a
highlight, spontaneous activity is observed in the anterior serratus muscle
and reduced recruitment pattern in the muscle mime.
CONCLUSION:
Current study that does not show data suggestive of plexopathy, or second
motor neuron involvement. Concordant findings are observed with a neuropathy
of the long right thoracic nerve, with little activity in progress at
present.
my big question:
Does this exclude me from ALS limb or bulbar?
Does an EMG identify PBP if so am I fine?
Thank you so much!
Thank you for your time. I want to be short because I don't want to bother you with my possible insignificant issues.
I was told I have neuralgic amyotrophy(NA) or a brachial plexus disorder. Had an EMG preformed due to twitching in legs, abdomen, and neck. Needed to make sure I was clear of ALS because I also felt like I developed swallowing issues and my the tip of my tongue points to the right a little. Physical preformed by my Dr. and 2 Neuros. completely normal on physicals. No brisk reflexes, no clonus, am able to move my tongue in all ways, perfect balance, no weakness except from NA, only slur when I feel like I am paying attention to when I talk. Wife isn't worried and I haven't had anyone tell me anything about my speech. Breathing feels like I have to yawn to get a big breath but I kind of think that the NA might have messing with my right side of diaphragm not sure on if this is that or something else like GERD. also Jaw hurts but I do have TMJ
translated as best as I could so some might not make sense
FINDINGS:
The neurophysiological study performed on upper and lower limbs shows:
1- Study of conduction of the ulnar, median and musculocutaneous nerve in
its normal motor sensory portions. Axial and sensory motor neurological of
radial and normal medial antebrachial branch.
2- Common posterior and peroneal tibial motor neurography, as well as
superficial and sural sensory peroneal neurography showing normal latency,
amplitude and velocity potentials.
3- Normality of the latency of the F wave of the posterior, medial and ulnar
tibial.
4- Normality of the latency of the response reflects H bilaterally.
5- EMG performed in bilateral L2-S2, bilateral C4-D1, and bulbar muscle
myotomas, which shows absence of denervation activity with interferential
recruitment patterns in all of them. A simple fasciculation is observed in
the left anterior tibial, without accompanying denervative activity. As a
highlight, spontaneous activity is observed in the anterior serratus muscle
and reduced recruitment pattern in the muscle mime.
CONCLUSION:
Current study that does not show data suggestive of plexopathy, or second
motor neuron involvement. Concordant findings are observed with a neuropathy
of the long right thoracic nerve, with little activity in progress at
present.
my big question:
Does this exclude me from ALS limb or bulbar?
Does an EMG identify PBP if so am I fine?
Thank you so much!
