EMG Difference between BFS and Isaacs Syndrome

[SirTrouserz]

I'm glad to see Steve answer this one Tess because I knew I was in over my head. In my case my neurologist said my EMG was normal, but I was still diagnosed with BFS which was confusing.

I would be interested in knowing more about the clinical differences found between Isaac's syndrome and BCFS during an EMG Steve because I am unsure of what the difference is myself.

 

[SirTrouserz]

In:
Neurology. 1991 Jul;41(7):1021-4.Links
Comment in:
Neurology. 1992 Feb;42(2):466.
Neurology. 1992 Sep;42(9):1846-7.
Cramp-fasciculation syndrome: a treatable hyperexcitable peripheral nerve disorder.
Tahmoush AJ, Alonso RJ, Tahmoush GP, Heiman-Patterson TD.
Department of Neurology, Thomas Jefferson University, Philadelphia, PA 19107

It states that "Isaac's and the cramp-fasciculation syndromes are hyperexcitable peripheral nerve disorders and that the difference in clinical symptoms is due to a difference in hyperexcitability. In Isaac's syndrome, the terminal axon is very excitable and continuously firing. In cramp-fasciculation syndrome, there is mild hyperexciteablility with rare firings, which become more frequent following voluntary activity (exercise) or nerve stimulation."

So that clears some of it up I think Tess. All your symptoms are typical and I've even read that the esophageal muscle can be involved in peripheral nerve disorders. I'm glad the Gabapentin helps some, but there other treatments to try if the pain gets too intense.

You're among friends, so hope that helps. )
Sir_Trouserz