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Could This Be ALS?

History is as follows:

55 year old male in good health and weight

two weeks of arm and and hand weakness then noticed atrophy of muscles in one arm cannot open door knob or close shirt buttons on cuff and neck.

Extensive twitches in arms, shoulder and back

Stiffness and cracking in neck

went to Neurologist , took blood tests, MRI all negative

Took neuro exam and EMG. Both show muscle/spinal issues all in arms, thumb but nothing in legs or head/mouth.

Dr says not definitive ALS but 40% chance. He said usually upper and lower symptoms but cannot find any thing in verbal or legs so not sure.

We are going to have all results sent to ALS Lous Gehrig Clinic at Columbia in NYC and have appt for 1/31/08. Dr says he needs an expert to look at all this and he is not sure.

Your thoughts anyone?

Answers: