ALS and eye twitching

[Darcy__0]

  I have been experiencing all-over twitching for 4 months with subjective weakness in upper legs and buttocks and upper arms, and tight feelings (not cramps) in
  hamstrings and buttocks.  My doctor (I have not yet been referred to a neurologist) pointedly asked me if I also have eye twitches in addition to the other twitching.
  When I indicated that I did, he seemed to feel there was nothing to worry about.  On exam, there was no demonstrable weakness, and reflexes were normal.  I do, however,
  experience muscle shaking on exertion, but the strength seems to still be there (although I feel weak) - can exercise, draw a bow set at 40 lb. draw weight, etc.
  My question is, do people with ALS also experience eye twitching?  I have always heard that eye muscles are spared, and since fasciculations are supposed to occur in
  muscles that are weak, would eye twitching tend to indicate a likely benign condition?
  Thank you for your time.
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Eye twitching is not a feature of ALS, you seem to have some form of
benign fasiculation syndrome, which may occassionally involve eye muscles.
The absence of objective weakness  or reflex abnormalities in the
fasiculating muscles would strongly support the probability that this is not ALS.
I think you rbest option would bve to obtain a referral to a neurologist
and have an EMG which will clarify this question beyond any doubt.