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A member asked:
Can twitches come before weakness in als?
4 doctors weighed in across 2 answers
Yes: yes, and many twitches are NOT an indication of amyotrophic lateral sclerosis (ALS). Most twitches are the result of single nerve fibers stimulating contractions in a group of voluntary muscle cells..a so called motor unit..which can cause an area of muscle to twitch or wiggle. Larger twitches, 'starts' where a whole limb jerks, are something coming from the motor control in the brain.
Answered 11/27/2017
3.8k views
Yes, can happen: Perhaps, in many cases, the first noticeable issue is the flickering fasciculations in muscles or hand and/or thigh, with later, demonstration of weakness and muscle bulk loss.
Answered 9/27/2014
3.7k views
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