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al999

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Hi everyone--I've read the forum for a while and find you all warm, informative and inspiring, so thank you for taking the time to read this... This is my first post.


FOA, I am a 31 year old woman, almost 32. I'm very scared, as are many on the board, understandably so. I don't even know where to begin because my neurological symptoms go back almost 12 years. Looking back though I am unsure whether those symptoms are unrelated to the ones I've had over the last 20 months. If you want the earlier history, I'll include it in my response.


At 27: I had a very bad case of vertigo that lasted for about a week and was accompanied by a stiff neck. At 29 I suffered a back injury, which caused me to experience radiating pain down the leg from the moment I woke up to the moment I went to sleep for about six months from beginning to recovery. I did an MRI of the lumber spine, which showed no herniated disc or degeneration. After 6 weeks bed rest, I woke up one morning and was just better. Over the next 6-8 weeks I made almost a full recovery.


A few months later I woke up one morning with a fine tremor on left hand. After a series of neurological tests and an MRI I was told that I was in good health, even though the MRI was abnormal and showed: “A flair signal abnormality in the periventricular white matter, primarily long the posterior aspects of the lateral ventricles…this is a nonspecific pattern, consistent with a variety of inflammatory, demyelinating, vasculitic etiologies.” My balance was not bad, but definitely effected and I had some discomfort in my neck, but it wasn’t severe or consistent.


During the next sixteen months, I grew more and more fatigued. I gained a lot of weight, had a stiff neck often and my balance became much worse. Furthermore, my arms and feet would get extremely cold; I have had heavy limbs and tripped a couple of times. Even worse, I experienced brain fog a number of times and noticed a few incidents of slurred speech and vision. There were times when I would wake up in the morning and my arm would be extremely numb. For most of that time I also had tearing from my left eye.


In December 2007 I had my first muscle spasm and went through weeks of fasciculations. They now happen every once in a while, but aren’t steady. Very rarely, when doing something like moving a mouse, I have a tick. I also have had pain radiating from my neck down my arms. Initially, I didn’t think there was any weakness, but I have noticed that there might be some weakness recently. There has been numbness in both arms and my wrists and fingers hurt, particularly after a day of typing and clicking the mouse at work. I have had facial numbness on my left side and an episode where my left eye twitched pretty intensely for about 30 seconds, and a couple of eyelid twitches on my right side. I’ve noticed a slight change in bladder control or urgency, especially when coughing or at times in the middle of the night. I am stiff and tired all the time and only feel normal for the first few minutes of every morning. The most alarming symptom, which has only happened twice thus far is a cold sensation entering from the top of me head and then travels down my body to my feet. The first time it only happened for a few minutes, the second for about two hours. At the emergency room they did a CT scan, which showed nothing alarming.


For the past two weeks the other symptoms have stopped with the exception of occasional Bell's palsy, sometimes feeling like it over the bridge of my nose, but even that has gone away almost completely. I have muscle spasms again, but not overwhelmingly, bad cramping in my right leg (and a tiny bit on my left now), which never stops and I feel stiffness in my right arm and some tightness/minor cramps in my chest on the right side. The cramping began, followed by a day where I felt like my leg was tingling, similar to when your limb regains sensation after being asleep, but it was COLD, feeling like it was submerged in cold water. Cold hands and feet, by the way is chronic. Also, consistent ankle pain on both sides, which has gotten a little better, and wrists pain. In addition, I experience jaw and dental pain, my soles hurt and at times burn, hypnic jerks, stress incontinence and bladder urgency, increasing sleep dysfunctions (early and frequent waking, a stabbing pain last night), headache, and eye pressure, sore throat, and occasional bouts of swollen lymph nodes, popping ears, dry and productive cough and sinus pain.


I had an EMG on Feb 5th because of the pain down the arms on the recommendation of my PCP. It showed that my lower limbs are normal, but the neurophysiologist stated it showed I had some “irritation” in my left arm and sent for an MRI of the C-spine. The MRI of the C-spine was normal. I am still not sure what that means and worry that my muscles are dying. I have had a second brain MRI on the recommendation of my new neurologist who seemed to think upon reading the first MRI report that it was likely MS. In the second MRI they discovered a congenital brain defect (not responsible for symptoms), but nothing that could definitely point to MS, such as legions. In addition, I have seen a well-reputed MS Specialist that requested a lumber puncture, which I did on April 15th. My MS doc told me that everything looks normal so far. My urinalysis showed trace amounts of bacteria. My two Lyme tests have both been negative, as has my Lupus screening.


I am scheduled to see an LLMD on 05/01 on the suggestion of a person who has Lyme disease, but I wonder whether I should schedule an appointment with an ALS specialist and a possible second EMG?


Thanks again for reading this TOME. I'm afraid to even post this... LOL Here goes....
 
Hello al999

That is quite a history, but I'm not really seeing anything that points to ALS. The slurred speach you had certainly is a symptom . . . BUT you had blurred vision at the same time . . . and they both went away. The spasms, the cramping and the fasics could also be signs of ALS . . . BUT . . . I think you indicated that they are all but gone. That doesn't sound very progressive to me and ALS is a progressive disease.
You also have too many things that point away from ALS. Bladder problems, vertigo, radiating, neuropathic pain (pain can certainly be part of ALS, but that is pain due to spasms, cramping, joint contracture . . . but not neuropathic pain), etc. I didn't see you mention muscle atrophy either.
Bottom line: it sure doesn't sound like ALS to me. I think your best bet would be to keep your appointment with the Lyme specialist. This could also be some kind of a condition causing neuropathy (the leading cause of Bell's palsy, by the way) that is autoimmune or viral in nature. You're young so your body still has a tremendous ability to heal. Keep your head up and know that the docs will eventually determine what you have . . . and it will get fixed. Keep us posted.
 
al999

hi al999.
something popped out reading your post and that is you had vertigo and neck stiffness among other things that indicate a virus infection. i was talking to someone last week who had encephalitis 11yrs ago and it has left him with alot of neurological symptoms and partial paralysis in his left side.
i have been doing alot of research into this this week. encephalitis can be diffused/scattered or can attack grey matter causing motor symptoms like mnd.
he has alot of symptoms the same as mine including hypotonicity, he had definate flu like symptoms before the neurological ones started, a stiff neck is a good indicator of encephalitis. i can remember 3 months before i started with muscle spasms i had very bad vertigo for 2 wks but no other symptoms resembling flu or stiff neck.
encephalitis is only picked up during the infection period after that there may be no evidance but the damage to the brain is done. no one knows for sure if sporadic mnd is caused by a virus. usually people dont get progressive deterioration after the initial damage and some can recover. my problems have been slowly deteriorating, but sometimes any brain trauma can set off a neurological desease.
ask your neuro about this, there may be some hope for you.
take care
caroline
 
Thanks for your insight and your time, Wright. I appreciate it. I've seen you on the board and appreciate your willingness to help and your general positivism.


I suppose my main concern is that my long history beginning at 20 (not included in post for fear of anesthetizing readers) is not relevant to what's been happening to me the last 20 months, including the neuropathy.


I have had a number of sensory symptoms and the previous pain and weakness that did seem to go away or get better as did the muscle spasms, which I know is a good sign. Until two weeks ago I didn't have cramping and though there was fatigue, no weakness in my legs. I do not think there's atrophy in my upper or lower half. It's difficult to tell because I'm overweight.


The spasm have increased a lot in the last two weeks and the cramping is bad, not so horrible that it is unbearable, but it's painful and consistent and today, the chest cramp, triceps and finger cramps are new, so it's alarming. My neck, of course is stiff and hurts, especially on the right side, which is the side that is most affected.


Like I said: thanks. :-) I will absolutely keep my Lyme appt. I had an EMG less than 3 months ago; do you think I should have a second one? I'm going to see a Neurologist this coming Monday, as well. I'll keep in touch.
 
I think you have ALS...

Im sorry to say...
 
Thanks so much Caroline.


I will absolutely keep encephalitis in mind (no pun intended).


I'm sorry to hear that you are not doing well. :-(


I'll let you know what happens.
 
Thanks for replying.


I'm sorry to hear that too--very. I had a normal EMG less than 3 months ago. Do you think I should get another one? Well, that's a silly question.... Never mind. Thanks again.
 
I think you have ALS
Im sorry to say...



What? Which one of her symptoms points to ALS? Is it her cold sensations? or the fact that she's had symptoms for 12 years? Or could it be her history of burred vision? Hmm... Nothing sounds like ALS to me. But since we are not doctors lets give them their job back. What do you say?:-?
 
Lou (Ihagsjr) was just being sarcastic. He didn't mean anything by it (you just have to know him).
 
Just a friendly word of caution to all on the forum:

Just a friendly word of caution to all on the forum:

Please consider your words carefully when you tell someone, "You have ALS", or "No you do not have ALS".

Just saying such a thing can throw someone into major depression, possibly even suicide. Do you want to be responsible for that?

We are not Doctors here are we?

I can understand if you "feel like", someone's symptoms might be ALS, but at least phrase it that way. Please do not jump to the end conclusion.

We do not want to hurt anyone here by diagnosing them ourselves. That is not our job, or it is not suppose to be. This is a support forum.

Just giving advice as to what you think, may be a much better way to discuss things. Do you not agree?

I only say this because some people, on some of the other threads, seem to have crossed the line and are telling people, NO YOU DO NOT HAVE ALS. How do you know? Please be kind and careful with your words. We are here to help one another without playing Doctor.
 
Well said AL. I'm not feeling comfortable with the tone of a few recent threads myself. They are not reflecting the intent of the forums. I hope everyone will take a look at the front page next time they sign in and be reminded why we are all here.
AL.
 
One thing I have learned over the past couple of years on this forum is that we have to be careful with how and what we say. Text and email/messages can be very subjective and perception/interpretation means everything. Sometimes it is tough to know when someone is being sarcastic/funny or serious. I think it is important for those with a diagnosis to remember those very scary first days after diagnosis or those days/months/years prior to diagnosis. The thing about ALS is that it can present itself in so many different ways that even the professionals struggle to pin down a definite diagnosis until many signs or symptoms appear. Sometimes we get lucky and there is a diagnosis that is not ALS and we celebrate those moments just as much as we love and support those who do get the diagnosis of ALS.

Al999, sadly, it's a waiting game... as frustrating and upsetting as that can be... it is the only way. Many diseases (including ALS) mimic each others signs and symptoms. In the meantime, this forum is a really great place to be. It is informative and supportive. I am sorry to hear that you are going through some really tough times. Hopefully, you will not get a diagnosis of ALS... but, in the meantime.. keep us up to date.
 
While not singling out anyone in particular, my comments were meant for general consideration by all members. This is not some kind of game where we try to out do one another, to see who can diagnosis who the fastest. We are not in competition.

I pray no one was offended by my comments, for I did not mean to offend, only to guide the general discussion back to more of a supportable type of discussion. We are not here to give anyone a diagnosis, but as it says at the top of the page:

Our support group is for ALL persons that have been affected by amyotrophic lateral sclerosis and motor neuron disease. This includes people afflicted with motor neuron disease, their friends, families, and loved ones. ALSforums is a community where you can ask questions, discuss concerns, voice your thoughts and experiences.

As we say down in the old country towns, That's my story and I'm sticking to it.:-D
 
When your dealing with people that are afraid, hurting, scared, and etc., this is not a place to be sarcastic.
 
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