KevinM
Senior member
- Joined
- Mar 30, 2019
- Messages
- 559
- Reason
- PALS
- Diagnosis
- 06/2019
- Country
- US
- State
- FL
- City
- Tallahassee
Hi everyone. I believe Nikki touched on this in another thread, but I had a zoom call with my neurologist this morning and he told me that they are doing away with “clinically possible, probable, and definitive“ categories and now will diagnose as “either you have ALS or you don’t.”
The EMG criteria, as I think Nikki said was being used in Japan, has also changed to include fasciculations as “spontaneous activity” and now part of the consideration along with the previous signs: fibrillations, PSW, acute and chronic denervation, multiple muscle groups, etc. He did say that including this does increase the chance of false positives, but not by much.
I may have missed a couple of points, but basically that was his message.
The EMG criteria, as I think Nikki said was being used in Japan, has also changed to include fasciculations as “spontaneous activity” and now part of the consideration along with the previous signs: fibrillations, PSW, acute and chronic denervation, multiple muscle groups, etc. He did say that including this does increase the chance of false positives, but not by much.
I may have missed a couple of points, but basically that was his message.