Help interpreting my EMG test please

[jgjones500]

Hi,

I am 37M and I have recently had a 3rd EMG test which showed some findings (the previous 2 tests last month did not show any findings).

The overall summary of my 3rd test details ‘no evidence of AHCD or neuromyotonia’ (what exactly does this mean please as it doesn’t directly make reference to MND/ALS?)

Your interpretation of my results would be much appreciated.

Symptoms which are concerning me over the last few months include muscle twitching (which started in my left leg and have now spread all over my body. The twitching in my calves is constant and I can barely feel them but I can see them), saliva/throat clearing and swallowing after eating and drinking, suspected loss of muscle mass, bone clicking, achy left ankle.

Thank you.

 

[Nikki J]

There is certainly no sign of ALS It looks like you have a mild old arm/ neck injury perhaps so mild you don’t remember. AHCD is anterior horn cell disease

 

[jgjones500]

Many thanks, Nikki.

 

[jgjones500]

Hi,

I am a 37 year-old male and I have been experiencing symptoms for the last 12 months which I believe could be consistent with a neurological disorder (please note that I have thoroughly read the 'read before posting' article).

I will not go into thorough detail regarding my various symptoms but I believe they are a legitimate cause for concern.

However, I have recently consulted with Neurologists who, upon physical examination, concluded that there is no clinical evidence of a neurological disorder. Similarly, the conclusions of EMG tests were that there is no evidence.

I understand that I must value and trust the opinions of experts. However, while I continue to experience persistent or even progressive neurological symptoms without any other explanation it is unavoidably still troubling me.

I have attached the results of my EMG tests carried out on 9 August and 23 September. As I previously mentioned, the Neuro-physiologist (same person and same center for each test) concluded that findings were normal on each occasion.

I have also attached a table showing a comparison of the NCS numbers of each test. I have noticed a consistent trend - that is; an increase in latency in almost all cases and a decrease in amplitude in almost all cases. This trend was not discussed (or maybe not even considered) by the Neuro-physiologist nor Neurologist.

The main reason for submitting this post is to seek advice regarding these trends - are these trends worth acknowledgement / concern / future monitoring?

Thank you for taking the time to read my post and thanks in advance for your support and advice.

 

[Nikki J]

Both emgs are utterly normal. That is what matters in ALS. THE NCS results are also apparently normal and some variation could occur for a variety of reasons, both internal to you and external. Your specialist obviously doesn’t think it significant. Consider other tests you might have like a blood count. Often you will see variation in values from time to time.

If you have not , ask your doctor if there is any concern but with two utterly normal emgs it doesn’t seem like this is the place for you

 

[jgjones500]

Thank you, Nikki.