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Neurology (Expert Forum)
Sister diagnosed with this disease
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Sister diagnosed with this disease
by Mark Anthony, Sep 14, 1999 12:00AM
Hello there doctors.
I have been recently experiencing fasiculations, tremors, (Since April 99) I had an Emg done on entire left side of body(normal) however no face nor head tests were done. I am thankful that I had a normal EMG, thus far confirming a benign condition, yet I am still full of anxiety. I feared ALS after reading "twitching" in medical journals. I feel the twitching most of the time however have observed recently , weeks ago several twitches in calf , that were not felt. I am of the opinion that ALS twitching is not felt. Please clarify as to whether or not twitching in ALS is felt or not or both.
Since on buspar, my tremors have calmed down a bit, however twitching is still present and seems to be varied. The twitching seems to be less "in intensity" meaning that they seem to be weakening. IF my twitching is anxiety related then would they diminsh slowly and with less intensity or would they simply stay the same in intensity but be less frequent in occurrence?
Now the aforementioned is what has been going on. My sister, now 40, I being 38, was recently diagnosed X2 with neurofibromatosis! She found several raised lumps in her skin which were biopsied and having been dx by same. Is there any correlation between her dx , and my symptoms reported here.
I am and aware that this nuerofibromatosis is hereditary and commonly shared among siblings. I am wondering what advice you may have regarding my symptoms and her dx. I am going to see my nuero next week and will advise him of her dx. However, I am very concerned about having a confirmed case of nuerofibromatosis in family , with my symptoms, and the aforementioned symptoms. What should I expect from a competent nuerologist, having emg'd my limb to rule out als, denervations, etc, with normal results yet having the information that I have a relative , sibling, with a dx of neurofibroatosis. Is there any way the neurofibromatosis could cause migratory twitching? Thanks for your services and this wonderful service. If I were in Cleveland, I wouuld surely use your services however I am in Arizona.
Sincerely
I have been recently experiencing fasiculations, tremors, (Since April 99) I had an Emg done on entire left side of body(normal) however no face nor head tests were done. I am thankful that I had a normal EMG, thus far confirming a benign condition, yet I am still full of anxiety. I feared ALS after reading "twitching" in medical journals. I feel the twitching most of the time however have observed recently , weeks ago several twitches in calf , that were not felt. I am of the opinion that ALS twitching is not felt. Please clarify as to whether or not twitching in ALS is felt or not or both.
Since on buspar, my tremors have calmed down a bit, however twitching is still present and seems to be varied. The twitching seems to be less "in intensity" meaning that they seem to be weakening. IF my twitching is anxiety related then would they diminsh slowly and with less intensity or would they simply stay the same in intensity but be less frequent in occurrence?
Now the aforementioned is what has been going on. My sister, now 40, I being 38, was recently diagnosed X2 with neurofibromatosis! She found several raised lumps in her skin which were biopsied and having been dx by same. Is there any correlation between her dx , and my symptoms reported here.
I am and aware that this nuerofibromatosis is hereditary and commonly shared among siblings. I am wondering what advice you may have regarding my symptoms and her dx. I am going to see my nuero next week and will advise him of her dx. However, I am very concerned about having a confirmed case of nuerofibromatosis in family , with my symptoms, and the aforementioned symptoms. What should I expect from a competent nuerologist, having emg'd my limb to rule out als, denervations, etc, with normal results yet having the information that I have a relative , sibling, with a dx of neurofibroatosis. Is there any way the neurofibromatosis could cause migratory twitching? Thanks for your services and this wonderful service. If I were in Cleveland, I wouuld surely use your services however I am in Arizona.
Sincerely
Doctor's Answer
by CCF neuro MD MM, Sep 14, 1999 12:00AM
There are several questions which I will briefly answerin order as asked.........
Fasiculations in ALS are both felt and not felt, most patients are aware of some twitching.
There is no definite pattern as to how the twitching would behave with treatment of anxiety. In general if fasiculationnis not accompanied by severe progressive weakness it is not significant. It does not sound like you have ALS.
Fasiculations especially if widespread are not a presenting feature of neurofibromatosis, if an individual nerve root was affected by a neurofibroma there might be fasiculations in the muscles supplied by that root, these would also be accompanied by severe weakness.
Neirofibromatosis could not cause migratory twitching, if you have a normal EMG it rules out ALS,
Fasiculations in ALS are both felt and not felt, most patients are aware of some twitching.
There is no definite pattern as to how the twitching would behave with treatment of anxiety. In general if fasiculationnis not accompanied by severe progressive weakness it is not significant. It does not sound like you have ALS.
Fasiculations especially if widespread are not a presenting feature of neurofibromatosis, if an individual nerve root was affected by a neurofibroma there might be fasiculations in the muscles supplied by that root, these would also be accompanied by severe weakness.
Neirofibromatosis could not cause migratory twitching, if you have a normal EMG it rules out ALS,
Member Comments (2)
by James to Doctor, Sep 14, 1999 12:00AM
Since my symptoms are not likely due to nuerfibrotosis , would you suggest that given the diagnosis to my sister that my nuero should do any test on my body to see if Ihave any tumors from this disease as a preventive measure or would I need to wait until I have symptoms that would warrant such a test?
