Unexpected EMG and foot drop

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lgelb

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Yes, that is correct. Polyradiculopathy can be addressed a variety of ways, from PT to lifestyle changes, medications, different shoes, possibly a brace. Most importantly, it does not progress to the severe or total loss of motor function as ALS does.
 

odysseussssssss

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so i was diagnosed with type 1 diabetes mellitus. now my doctor is quite positive that i have ALS4, familial form of ALS which is great news, it seems like type 4 is not lethal and very slow without bulbar involvement (it turns out genetic ALS has a connection with endocrine disorders. better yet, bilateral nature of my condition and other symptoms resemble ALS4 , my doctor concluded.) STX1 and PMP22 genes will be tested. yet i am having second thoughts, since this form of als is quite rare and for all i know, this disease is caused by dominant genes and my family has no history with ALS. is it possible that they are asymptomatic, even at this point? ALS4 caused by SETX1 mutation, has onset of before the age 25 but according to studies some cases are observed in form of adult onset.
my doctor is not an ALS specialist but he is the head of the neurology department of one of the best medical school in turkey so i trust his judgement. what do you think? i know it is bit of a limbo but any opinion is welcome at this point, i can not get my head around this! and again, thank all of you for your support, time and interest, this forum is truly a fortune and one of the reasons that i can still stay sane.
 

lgelb

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As an autosomal dominant disorder, I'm not aware of any documented cases with no family history, nor silent cases. It is possible, I suppose, that your case is a new mutation. If you are undergoing gene testing, you will know more. But yes, ALS4 is the best kind, for sure.
 

Bestfriends14

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Hi there, I'm sorry to hear about your potential diagnosis. While I don't know much at all about genetic forms of ALS, i do have a friend who was diagnosed with an extremely rare form of familial ALS. This was 10 years ago and today, he is still asymptomatic. In fact, several of his family members have this gene, but no one shows symptoms. I'm not saying that it's the same type as you might have, but if it is, it's a promising result to have the gene but not develop symptoms. Hope you can get all of your questions answered soon.

On a side note, Turkey is one of my favourite countries, with the best food. Sirince is one of my favourite small towns in Turkey, also.

Take care and stay safe.
 
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