Neurology Community
EMG findings in 58 year old male may suggest MND
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

EMG findings in 58 year old male may suggest MND

I'm a physically active 58 year old male. I have a background of hay fever and a post-nasal drip. The latter has made me hoarse and made my voice weak over the last 4 or 5 years, and since then I also have tinnitus in both ears.

Until about 9 months ago I had sporadic neck pain, such as after sitting in front of the computer for several hours. This neck pain has become more frequent in the last 9 months and has been accompanied by crepitus in my neck when I turn my head or run. More recently I have had intermittent paresthesia in my neck and fingers, and pains in my arms. A cervical X-ray revealed degenerative disk changes between C4 and C6.

Over the last month or so the pains in my arms have become more frequent, and my legs are sore since running a mile or so to catch the bus the day before yesterday. I also get painful cramps in my left calf when waking up.

In addition, in the past month I have had fasciculations over my whole body, from my eyelids to my feet. They have become more bothersome recently and last week I went to the emergency room and was seen by a neurologist, who found "mild distal muscle weakness". Another neurologist had previously found mild atrophy in the deltoid and interosseus muscles, and ordered EMG/NVC along with a cervical MRI.

Today I had the EMG/NCV done on my right arm, leg and cervical spine, and the technician reported as following:

NCV: Latencies, amplitudes and velocities within normal range, except borderline decreased right tibial amplitude. Prolonged F-waves in right tibial nerve.

EMG: No signs of acute denervation, widespread fasciculations in all nerves examined besides paraspinal cervical muscles. Increased motor units (amplitude, duration, polyphasic) with reduced recruitment in following muscles:

Right FDI
Right EDC
Right Triceps
Right Deltoid
Right Bicpes
Right Medial Gastrocnemius
Right Vastus Lateralis

In conclusion: Findings may suggest MND. For clinical correlation and neurological workup.

My question is: Just what kind of MND (motor neuron disease) might these findings point to? Could it be ALS, for example? Or is it impossible to suggest a diagnosis until after doing the cervical MRI?
Related Discussions
Avatar_m_tn
Correction:

Cramps are in my right, not left calf.

Sorry for the trouble.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Neurology Answerers
620923_tn?1426651955
Blank
selmaS
Allentown, PA
338416_tn?1420049302
Blank
jensequitur
Fort Worth, TX
Avatar_m_tn
Blank
Ball123
293157_tn?1285877039
Blank
Wobbly
11119474_tn?1428705770
Blank
davincidanes
Rockwood, TN
1780921_tn?1416842066
Blank
flipper336
Chandler, AZ