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Neurology  (Expert Forum)
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Muscle Twitching
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Muscle Twitching

by jgaer, Mar 16, 2005 12:00AM
I have had muscle twitching in my arms and legs for over 8 months. Some days it's bad and other I hardly notice the twitching.  There is one spot below my elbow that twitches for a week or so at a time and them quits for a few weeks.  I don't

have any weakness or cramping but I'm still concerned about the possibility of ALS.  I have had a clean neurological exam around the 4th month along with a clean emg of my left arm, left leg and paraspinal muscles.  A total of 15 sticks with the emg and all were clean.



With all that being said and now I'm 8 months into this twitching stuff does this sound like ALS or just a benign problem?



I'm a 37 year old male in good health!

by CCF-Neuro-M.D.-PW, Mar 18, 2005 12:00AM
Twitching or 'fasciculations' (as I beleive you are referring to) are unlikely to be ALS without muscle weakness or wasting especially over time



Fasciculations can also occur as a benign syndrome with or without cramps, in response to cold, exercise or certain medications, or sometimes due to a pinched nerve in the neck or back.



Without clinical or EMG evidence you do not meet any diagnositic criteria for even 'possible ALS'



I cannot give you a 100% sure answer over the internet as I have not seen you or your results myself



Good luck
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