ALS Diagnosis Confirmed.

A few years ago when my fascics and cramps started a neuro gave me a positive dx of ALS. I was in denial and convinced myself that it was simply BFS. I recently broke my ankle twice and had to seriously consider ALS. I went to a new neuro and he said based on the old test results and his exam he agreed that I had ALS. Today he did an EMG and while he found fasciculations and witnessed the cramps he found no denervation at all. He prescribed quinine for the cramps and I don't have to go back for 4 months. I am so relieved, the past few weeks have been torture with worry and anxiety. BFS is a pain but what a relief knowing it is not ALS. Everyone who has symptoms needs to get tested by a good doctor for peace of mind. I know most of us with BFS fear ALS to some degree
Laurie
 
Rockwell Hello
I will try to explain it all.
Three years ago I had severe hyperthyroidism , Grave's Disease. I let it go until I could barely walk before I saw a doctor. It was shortly after that the cramps and fascics started. I was sent to a neurologist who did tests and gave me a positive dx of ALS. I knew nothing of ALS at the time and being in shock I didn't ask the right questions other than "Are You Sure?" She was sure. Time went on and some terrible things happened in my private life and I was still not showing any signs of weakness or wasting. I convinced myself that I had BFS and that she made a mistake. A mistake that hurt me and my entire family. I hold no grudge, she believed she was right. I called there a few times these past three years to try to find what made her think I had it and she was always unavailable.
A few months ago I broke my ankle while standing up, when it happened the second time it hit me full force that I was told I had ALS, this must be it. I asked my GP to find me a good neuro. He said I seemed to have strong muscles but he also had a copy of the original tests in his hand. He said according to those tests I had ALS, the slowest moving he ever heard of. He set up an appointment to do the tests himself. They were done yesterday, they were perfect! Cramping and fascics were evedent but no denervation at all. So it was either the thyroid disease or the test results were just plain wrong the first time around. I have just gotten in touch with an endrocinologist and he said thyroid disease could possibly show nerve damage but only the first year. That would be the only explaination that makes any sense.
I do not and never did have any signs of atrophy, wasting, the weakness in my legs was definately a result of being hyperthyroid and that has long since been corrected. My foot giving way when I stood up is most likely due to bad circulation and my foot falling asleep because it is strong and normal. So I have BCFS like I thought all along.
I don't want to scare or confuse anyone this is just what I have gone through. We all worry ourselves sick. Even slow progressing ALS patients have at least one body part that no longer functions. In ALS fascics and cramping are seen after wasting not before. If you are worried to the point of feeling sick you need to see a GOOD NEURO to put your mind at ease once and for all. ALS is a very rare disease. My new neuro explained everything as he was doing the tests, told me step by step what he was seeing and not seeing quite the opposite of the original doctor. I walked out of there yesterday fully confident that I was okay.
 
Wow, all I can say is that from my professional perspective it sounds like your original doctor would do well to make sure her malpractice insurance is paid up. If someone carelessly gave one of my family members a horrible and fatal diagnosis that doctor would find his name immediately below a "vs" on a piece of paper some persistent gentleman would hand him or her!
 
I am surprised by the attitude of your first two doctors. Usually if a neurologist suspects ALS, they are likely to refer or suggest, you go to an ALS clinic or a Neuromuscular specialist to confirm their suspicions. Also, without clear evidence of profound weakness or atrophy - inspite of a bad EMG, it takes them about an year to come to a firm conclusion.

I am glad this has turned out positively for you. It is time to rejoice and enjoy.
 
With the tests being done twice and the first one showing denervation and the last one showing no denervation I am wondering which test is right? Can denervation just go away? As time goes by my head is full of doubts and questions. This new neurologist said that burning muscles like I have would not happen with ALS. I have an appointment with a rheumatologist in a few weeks. I had gone to him a few years ago and he said I had fibromyalgia. I sort of dismissed his dx when so many other things started happening to me. Also I really wasn't sure I believed there was such a thing as fibromyalgia at that time. I thought maybe it was what a doctor said when they really didn't know what you had. I have come to change my thoughts about this to some extent.
Laurie
 

Users who are viewing this thread

Back
Top