EMG and MND's

Posted By SD on July 26, 1999 at 10:04:08
Hi,
I'm a 28 yr. old male. I've been experiencing widespread, sometimes profuse fasciculations for just over five months. They occur everywhere (save for tongue), but most frequently in the calves/legs.
As for stiffness,cramping, and aching they tend to be most problematic in my right forearm; incidentally, where I first detected the fascics. I've been examined numerous times since this started, with the only remarkable finding being hyperreflexia (2+ in legs). Comprehensive/esoteric bloodwork has been either negative or equivocal with an initially positive ANA of 1:160 which has come down to 1:40 being the only noteworthy finding. I've had 3 EMGs at an MDA clinic at various intervals. The first included NCV. NCV was not repeated b/c neuro said, "...in fact, I've never seen amplitudes like yours." The most recent EMG was just about four months after the first twitches, and showed nothing but insertional irritation in one muscle in the, you guessed it, right forearm. MDA neuro deemed this insignificant. This last EMG was pretty thorough, as I had read El Escorial and insisted on it.
My neuro suggests that I am pretty much in the clear of an insidious pathology, as I would most likely be showing some significant denervation and/or clinical signs on exam by now..."You're not one of the one's I worry about..." Well, I worry about me nonetheless.
Do you folks concur with his opinions as I've summarized them, or should I keep pushing for EMG's and exams every couple of months? I'm not a "tincture of time" kind of guy, and want very much to believe him when he says I'm worrying for naught despite my symptoms.
Your insights are always appreciated. Thank you very much in advance.










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Re: EMG and MND's CCF Neuro[P] MD, RPS 7/26/1999
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