No: Fasciculations are not an early indicator of ALS. They are more likely a symptom of excess caffeine, lack of sleep, anxiety, stress, etc. Diagnosis for ALS does include fasciculations in the criteria, but only one part of it, and must be accompanied by weakness in the same limb. Twitching as related to ALS indicates dying muscle and therefore weakness which does not come and go.
Answered 11/28/2017
3.8k views
Muscle flickering: The muscle seems to flicker and twitch but does not contract, and the fasciculations are seem at rest, and may get worse with cold temperature. Key issue is association with muscular atrophy and weakness. with retained reflexes.
Answered 12/13/2014
3.4k views
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3 doctors weighed in across 2 answers
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