Need for advice

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Salafi

New member
Joined
Apr 11, 2022
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4
Reason
Learn about ALS
Diagnosis
00/0000
Country
DZ
State
AN
City
Annaba
First I want to thank all admins and members of this forum
My symptoms start 1 year ago :
Fasciculations all over the body + tongue
I read rules before i posted my thread.
I feel weakness in my hands, arms and legs
Specially cheek and jaw muscle but there's no difficulty in speech or swallowing.
My extremities go thin with no atrophy (as the doctor said) butt they became very thin.
I had emg 3 times
But The last one showed abnormal nerve conduction (pict attached)
I had normal clinical examination (reflexes, strength, vision..)
The question is about face weakness is it UMN or LMN? because I haven't any other signs of UMN
And through the last emg : is there any conduction block
Any ideas please
 

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The great news is your EMG was clean 3 times and you have a normal clinical examination. The NCS doesn't show anything for ALS so problems showing there are something else.
Try reading this link carefully as it will be really helpful as to why ALS seems to have been thoroughly cleared for you, and I'm thinking your doctors have already told you this which is great.

Finally, clinical weakness is an LMN sign, but you don't have clinical weakness.
Feeling weak is neither an LMN or UMN sign, it is a feeling.

Please keep working with your doctors and follow their advice.
 
Thanks for your reply I'm very grateful to you.
But i want to know what's the problem my my ncs please
 
Read the interpretation that should have been part of the report and ask your doctor if it is anything to worry about. NCS issues are not related to ALS which is our focus here
 
Please talk to you doctor about your NCS, only they are qualified to really do this. As both Nikki and I have mentioned the NCS is not part of ALS testing. I hope you find some answers working with your doctors soon.
 
Thanx affected and nikki, I wanted to explain that the doctor I went to was not a neurologist but an emg specialist(electrophysiology) , who told me to let my neurologist see the report. I can't go to my nourologist until june.
This is what he wrote in emg test.
I want to know what's going on with nerv conduction test and emg .
Thanks again
 

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Of course, I wouldn't use Google Translate to answer a question about comments on an EMG report (and you only posted the NCS part, which is not relevant to ALS). However, I feel certain that if your EMG were concerning for ALS, which is what we deal with here, your appointment would be earlier. Perhaps you can do video or email with the neurologist in advance of your appointment to be reassured on this point.
 
If you had ALS they would have you to your neurologist quick smart, truly.
 
Last question is about sensitive issues in my ncs... Is there any probabilities?
I don't know how to thank you unless i stop asking disturbing questions.
Thanx a lot
 
You must ask these questions of your neurologist. I am closing this thread to remind you to do that. Please don't open another thread unless you receive a diagnosis of MND.
 
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