karen, thanks for answer. this is a most useful answer i got from anyone, including google.
why do i ask this?
1. neuro diagnose "ishialgia"
2. neuro diagnose (als expert) "according to all noticed results and criteria, it's als" (20 minutes of opservations which included reflexes and emg, forwarded to other rookies who confirmed it after reviewing of all negative results from mri, bloodtests, markers, etcetc, respecting als expert diagnose
3. physiatrist "LMD, according to emng results - emng lower and upper motor neurons compared in 8 last months". as i noticed, no upper neuron inervation found.
4. i've been sent to imunology-rheumatology-pulmology dpt after considering for decades non stop-elevated ALT, AST, newly measured CK (750) and kreatinine (within referent area, but reaching low level).
i talk to neuro (rookie), but he hears only what he wants. i never had any kind of problems upper from waist (weakness etc). "tongues fasciculations suspected, no visible atrophies on tongue, speech is little bit slower, whole left hand atrophy" even i said that i had elbow luxation and it was immobilized for 3 weeks... now,after 4 months it looks more than very good (muscles, power etc..). i have fasciculations all over my body, same as brief reflexes, 3+.
my right side is weaker for 21 years, since i had car accident, and they automatically connect it with spreading ALS. i work for 10 hours a day. sitting, just doing on comp, walking less than 1 km/day. so i have problems with walking for last 4 years which is worse and worse... that is all my problem. only misdiagnose can stop taking me appart from my girl.