buenosaires
Active member
- Joined
- Sep 4, 2010
- Messages
- 39
- Reason
- Learn about ALS
- Diagnosis
- 08/2010
- Country
- ar
- State
- ba
- City
- ba
Thanks Kansas and Sammantha
Wright - Thanks for the help. I'll type up the EMG/NCV report below. My blood test results and next neuro appt. are next Monday, not yesterday. As far as why I went to a neuro recently, I've been seeing chiropractors, osetopaths, and such off and on for years, and I was seeing a pain specialist doctor recently, who referred me to a neuro after he couldn't help me himself. Another reason I finally went to a neuro is that I'm in a country where it's much cheaper to get medical treatment than in the US, and I don't have insurance or a lot of money. Argentina is a well-educated country, and BA is a huge city with some high quality universities, so I think I'll be able to get good attention.
Every time I read this I get a sick feeling:
Explored muscles: Bilateral deltoid, biceps, extensor digitorum communis, first dorsal interosseous, abductor hallucis and abductor digiti quiniti. Right tibialis anterior and mouth floor muscles.
Spontaneous activity: Fibrillations and fasciculations in all the muscles of upper limbs. Scarce fibrillations in right tibialis anterior.
Intermediate-simple activity, with giant motor unit potentials (MUP) in the first dorsal interosseous and abductor hallucis bilaterally, with right predominance. Intermediate activity with bi and thiphasic, low amplitude MUP in both adductor digiti quinti (atrophic). Intermediate rich activity, with excessive mutliphasic MUP in bilateral deltoid and biceps. Normal activity in the remaining muscles explored.
Conduction velocities:
Nerve Right Median Right Ulnar (mot.) Right Ulnar (sens.) Left median Left ulnar
DL (mseg) 3 3.2 2.3 2.9 3.1
Ampl. (mV) 23* 0.6* 0.08 14.59* 1.2*
Max cv (m/seg.) 51.56 43.2 56.6 54.3 48.2
* No nerve conduction block
Conclusions: This study reveals a chronic neurogenic compromise of moderate degree, with denervatory activity, located in the anterior horn of the cervical spinal cord, constituting a motor neuron disease. Denervatory activity is observed in the right tibialis anterior, without other evidence of motor neuron diseases at this level.
Diagnosis: Active cervical motor neuron disease.
Wright - Thanks for the help. I'll type up the EMG/NCV report below. My blood test results and next neuro appt. are next Monday, not yesterday. As far as why I went to a neuro recently, I've been seeing chiropractors, osetopaths, and such off and on for years, and I was seeing a pain specialist doctor recently, who referred me to a neuro after he couldn't help me himself. Another reason I finally went to a neuro is that I'm in a country where it's much cheaper to get medical treatment than in the US, and I don't have insurance or a lot of money. Argentina is a well-educated country, and BA is a huge city with some high quality universities, so I think I'll be able to get good attention.
Every time I read this I get a sick feeling:
Explored muscles: Bilateral deltoid, biceps, extensor digitorum communis, first dorsal interosseous, abductor hallucis and abductor digiti quiniti. Right tibialis anterior and mouth floor muscles.
Spontaneous activity: Fibrillations and fasciculations in all the muscles of upper limbs. Scarce fibrillations in right tibialis anterior.
Intermediate-simple activity, with giant motor unit potentials (MUP) in the first dorsal interosseous and abductor hallucis bilaterally, with right predominance. Intermediate activity with bi and thiphasic, low amplitude MUP in both adductor digiti quinti (atrophic). Intermediate rich activity, with excessive mutliphasic MUP in bilateral deltoid and biceps. Normal activity in the remaining muscles explored.
Conduction velocities:
Nerve Right Median Right Ulnar (mot.) Right Ulnar (sens.) Left median Left ulnar
DL (mseg) 3 3.2 2.3 2.9 3.1
Ampl. (mV) 23* 0.6* 0.08 14.59* 1.2*
Max cv (m/seg.) 51.56 43.2 56.6 54.3 48.2
* No nerve conduction block
Conclusions: This study reveals a chronic neurogenic compromise of moderate degree, with denervatory activity, located in the anterior horn of the cervical spinal cord, constituting a motor neuron disease. Denervatory activity is observed in the right tibialis anterior, without other evidence of motor neuron diseases at this level.
Diagnosis: Active cervical motor neuron disease.