Re: symptoms

Posted By CCF MD mdf on June 22, 1998 at 17:36:13:

In Reply to: symptoms posted by MARG on June 20, 1998 at 10:14:38:






What are the symtpoms of als in the early stages?  Is clonus(limb jerking) one of them?  Are fascics another?  How long do either of these last before weakness sets in?
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The problem with answering a question like this is that many of the symptoms of ALS overlap with other neurologic problems, and if you don't take a systematic approach it is possible to convince yourself that you have the disease based on a few symptoms.
With that caveat, here goes . . .
Usually, ALS presents with asymmetric weakness, often starting in one limb. There isn't much in the way of numbness per se. Weakness may be subtle at first. Sometimes the weakness appears first in the speaking and swallowing muscles before affecting limbs.
Yes, fasciculations can be a sign of ALS. But they can also be a sign of lots of other processes, such as focal nerve injuries. Don't forget that fasciculations can also be "normal."
It is possible for clonus to be seen in ALS. But you have to be careful what you call clonus. Not all jerking is clonus. Further, clonus is seen in many more diseases than ALS - for example, a compressed spinal cord (from degenerative spine disease - or arthritis of the spine) can produce this.
If you are truly concerned about ALS, get to a doctor. The sooner you have someone systematically evaluate you, the sooner your mind can be put to rest (or if something is wrong, the sooner you can possibly start to treat it).
I hope this helps. As you know, this information is provided for your medical education only. Specific comments regarding diagnosis, prognosis, and treatment options must come from your doctor. CCF MD mdf.