- Feb 28, 2008
- Learn about ALS
I am a little confused about two appointments that I just had last week. My primary neurologist gave me a "probable PLS" diagnosis, and the neurologist that he sent me to for a 2nd opinion gave me a "probable HSP" diagnosis. I know these two diseases may have similar symptoms, but they have two different causes right? The 2nd opinion neuro said that I appear to have a complicated form of HSP, which simply means that it is HSP+ some other symptoms not typically related to HSP (in my case it would be peripheral neuropathy). He said he doesn't think it is PLS because PLS usually includes bulbar symptoms, which I don't have. My primary neuro said that he doesn't think it is HSP, because HSP doesn't affect the arms and I have some arm spasticity and weakness (albeit very slight). So what gives? I told my primary neuro that the the MD he sent me to for a 2nd opinion thinks that PLS is unlikely and that he said that in the complicated form there may be symptoms like mine, and he said he would have to wait a few years for one of the to to be ruled out, but that he thinks it is PLS. At least we have narrowed it down to a spinal disease I guess.