David, sorry about what you’re going through. In discussing the rare cases where fasciculations might present early, the Department of Neurology at the Mayo clinic issued a statement (in response to a letter published in the Annals of Neurology) that “in their experience” (which is extensive) such cases “always” have electromyographic (EMG) abnormalities when they present with fasciculation. No one can ever say anything for 100%, but this sounds like a good thing to me. Hope it helps a little.