Hello
Thank you for posting your query at DoctorSpring.com
I have noted your detailed history and the list of evaluations and EMG.
I am of the opinion that your symptoms are not suggestive of ALS and they are related to benign fasciculations.
For your peace of mind, however, you are right in pushing for a repeat EMG study to conclusively rule out ALS.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
Dr sudhir kumar,
Thank you for your response. Is it not more ominous that this twitch is a) so persistent and b) the fact it is in the left FDI?
Also, it is possible that this twitch is unrelated to past history?
Finally, as I had EMG 1.5 years old patientago, which was normal, is that reassuring regarding this twitch or was that too long ago.
I do have body wide twitching but this is very intermittent and moves around all over in little, short bursts. Thats why the FDI twitch bothers me so much. Its there, very fine, all of the time.
I dont know how long I will have to wait for EMG.
Thank you in advance
Mand
Thank you for getting back.
I know it is annoying to have a constant twitch, however, I would like to reassure you that it is not ominous and does not signify ALS, if that is your concern.
I agree one and a half years old patientis too long ago, and it may be preferable to repeat an EMG. However, there is no emergency to do it and you can do it whenever you get the appointment.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist