Since 3.5 weeks I notice fasciculation in my calves and when I run or workout or randomly some very very mild cramps. I get also twitches all over in tights , biceps triceps , eye, temple but they are rare and go away. Actions I took ( given I ve been diagnosed withGeneralized Anxiety Disorder 2 months ago ) : 1st week : went to see 1st neurologist which dismissed ALS/MND from the beginning based on a quick clinical exam 2nd week: Saw a board neurologist with 50 years o experience is his field which he dismissed ALS as well and he didn t even considered necessary to have an EMG 3rd week: Finally found a neuro-muscular specialist with 10 years of experience which agreed to do an EMG in 3 limbs ( Legs, Right hand ) and a nerve conduction study. What he told me ( still waiting for a final report yet ): 1. No evidence of MND , he clearly stated on a white paper for me to be re-assured 2. He suspects a lumbar radiculopathy ( I do have some pain around L4-L5 ) 3. A pinched ulnar nerve ( light ) in the right elbow ( according ncs ) which doesn t bother me. 4. 3rd clinical exam without any clinical weakness or athrophy noticed by all doctors. The reason I am experiencing this anxiety is that my DAD died of ALS in 2003. Mom mentioned that a neurologist made a genetic test for me and he found that I have no predisposition. Dad was sporadic and nobody from it s family had any neuro diseases in the past ( He has 2 sisters and 1 brother ). Grandparents were ok. Last doctor said no EMG is required for follow up, but if I can do a spine MRI ( no contrast ) In 3 months would be good. So, finally my questions are. ( Being 30 years old ). (Condensing) 1. Could EMG miss ALS/PLS or any MND ? If it can, what Is the chance? ( found 2,3 cases on the internet with people which claimed they started with fascics and then weakness ). 2. Could EMG study misdiagnose? How it gets the radiculopathy ? F or H waves? No evidence of MND means that the MUAP was around good values? 3. I am still anxious but I really need a host answer, would this generate me ALS in the early future ? 4. What do you think I should do ? CK blood tests? Should I do a spintal tap ? I want to be assured or not, this anxiety is killing me. 5. Could EMG miss PLS ? I heard some cases. 6. Radiculopathy should show denervation? It s there any chance I could be diagnosed wrongly? What do you think I should go do in the near future and what to search from now on?
posted on
Fri, 18 Aug 2017

Sun, 12 Aug 2018
Answered on

Fri, 17 Aug 2018
Last reviewed on