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A member asked:
I had an emg about a week ago due to ongoing neurological symptoms (pain, perceived weakness, spasticity). emg came back clear, and i was told symptoms were likely related to hyperexcitability. can emg miss something serious like als?
A doctor has provided 1 answer
Possibly : EMG is very helpful in diagnosing ALS but a normal study does not completely rule out that diagnosis. If the symptoms are suspicious further testing/evaluation should be pursued
Answered 9/6/2020
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Is it normal for dominant arm bicep and triceps to be slightly large than my left arm. Muscle imbalance? no weakness. neuro for EMG to check ALS?
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Fasciculations for 30 months. No weakness or atrophy. EMG shows fascias conclusion normal EMG and clinical (brisk knee reflex). I Still worried ALS.
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Would it be rare to have als with normal reflexes and normal clinical exam ? Doctor said no need for emg as percieved weakness ie tripping at times / hand weakness when lifting things is not clinical and strength test was normal . Chances of early al?
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