I cannot give you a clinical diagnosis over the internet as this site is purely educational.
An EMG will be able to show evidence of a lower motor neuron problem, which includes ALS. If there is an upper motor neuron problem like in the spinal cord or brain, it will not show this generally. ALS is more common in males over the age of 40 years, so you are not quite in the range for this. Twitches or fasciculations can also be caused by pinched nerves, and pinched nerves in teh neck could cause twtices, weakness and wasting in the limbs. An MRI of the neck could help investigate this. If the brain MRI is truly normal the spinal cord shoudl be looked at closely to look for evidence of inflammation or growths, beyond that they may have to look at the spinal fluid carefully. The most common cause of these kind of symptoms in your age group and gender would be MS so this shoudl be looked at carefully.
If you can, perhaps a second opinion at a larger center with a neuromuscular or MS neurologist could help make a diagnosis - the correct diagnosis is very important before deciding on prognosis or treatment.
Hi everyone, I'm sorry to post my problem here, I'm trying for a month to post my question but didn't get a chance.
Hi everyone, I
What medicines, have you taken up to one year prior to the onset of your symptoms? Have you been on statins (cholesterol lowering drugs)? Did you take antibiotics like cipro or levaquin? Have you taken antimalarial drugs? All your symtoms fit with a delayed reaction to those medicines, but the unchanged sleeping patterns, because the toxicity of those medicines also affects sleep deeply .
Dear Johnflex, thank you for the comment. If this is a medicine reaction what can I do about it? any special test?
Thank you again.Helen
A EMG test can show normal results in early ALS, usually 2-3 EMG tests are performed. My 1st emg was normal, a year later I received a abnormal emg.
Have you got brisk reflexes? as this is a common symptom of ALS, If you are worried as I'm sure you are book up to see an ALS specialist.
Hi Helen, unfortunately the Dr will not reply to your question here, you have to post your question on its own.
If it is a reaction to a drug, you have to know it to avoid any re-exposure, because in that case the lesions can become irreversible.
You can also learn how to avoid aggravating factors and in some cases you can take some active measures to speed healing.