Seems worrying

Srif

New member
Joined
Sep 20, 2024
Messages
5
Reason
Learn about ALS
Diagnosis
00/0000
Country
EG
State
EG
City
Cairo
Hello I’m a 37 year old female. A month and a half ago I experienced sudden weakness in my right calf which affected my ability to walk. It then spread to my right hamstring and glute and now my upper arm for the past 2 weeks. I experience stiffness and cramping and have to make an effort to actively engage different muscles to perform regular movements and they and up stiff and cramp. I get random twitches in those muscles. My emg is attached, showing fibrillation and signs of active denervation of muscles in the right leg. It was done on both legs. I also have positive babinski sign in both legs. This all started after exposure to the heavy metal gadolinium from an unrelated mri scan of my heart which was clear it caused me an array of symptoms which I never had and most recently this. Could this be ALS? Ps. The option for attaching the EMG disappeared
 
IMG_5143.jpeg
 

Attachments

  • IMG_5144.jpeg
    IMG_5144.jpeg
    688.1 KB · Views: 71
Myositis (an inflammatory myopathy, affecting the muscles directly, not the nerves that control them) is not nearly the same as ALS and much more treatable.

You should consult with your neurologist for next steps -- they may recommend a muscle biopsy or other testing.
 
My neurologist already ruled out myositis based on blood tests and symtpoms. He says this is not the cause for the abnormal readings of the EMG, that is why i posted for opinions here! I wouldnt worry if i actually had myositos. Based on the EMG readings, and described symtpoms, i am worried. He scheduled me to repeat the EMG elsewhere. If anyone has any insight id appreciate it.
 
The table is vague, but "increased" recruitment with polyphasic motor units is not ALS but could depending on the rest of the findings be consistent with some myopathies. Myositis signifies an inflammatory myopathy.
 
Ok, and fibrilations also?
 
The fibrillation potentials signal acute denervation, suggesting an ongoing process, but there's a wide range of processes it can represent, many pretty benign, so that's why I'd expect further testing to narrow it down. Meanwhile, mixing up your position in the way you sleep and sit couldn't hurt.
 
Thank you for replying and for your time. The weakness progressing from right leg to right arm is really concerning to me as well as the EMG. I love in egypt and dont think there are specialized drs here.
 
Back
Top