EMG showed fibrillations in cervical/thoracic muscles

[Lefty1234]

Hello, I’m looking for insight into my emg/symptoms. I’ve had some perceived difficulties speaking and projecting my voice (fairly minimal and not noticed by others). As well as tongue fasciculations at rest in my mouth, and quivering tongue when I stick it out. I had a neurology appointment with a local neurologist (he had limited experience with ALS, more of a headache and pain management specialist) who did and EMG. He didn’t have the ability to do a tongue or jaw EMG, but did do upper limbs and thoracic. The only abnormality was fibrillations in the thoracic and cervical muscles. I’m just wondering if anyone here can look at the report, combined with my symptoms I’ve noticed, and let me know your thoughts. It worries me that the fibs were seen near my bulgar region, where my symptoms are. I worry that’s where it would spread next as far as being able to detect it. The Dr did say he was 95% sure it wasn’t ALS. But I’m not sure he’s had any ALS patients (he was a younger guy). Anyway, thank you!

Previous thread here: Mainly a couple specific questions about fasciculations and crying

 

[ShiftKicker]

Hi there-

There's always a summary/conclusion included in these reports. What did the doctor say? Your attached images showed personal information such as your full name and dob, please repost with these removed.

 

[Lefty1234]

Oops! Thanks, let’s try again. He did note no sign of ALS on the report, but in person told me he was 90-95% sure it wasn’t that.

 

[Nikki J]

The report says likely due to lack of relaxation so I doubt they were true fibrillations. The back muscles are notoriously difficult to get a good read and in my experience people who are neurophysiologists who do emgs all day every day refrain from calling readings in that situation and make a notation to that effect. Your doctor wrote no signs of ALS. You should believe him