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25 yo male with increasing neck pain, perceived atrophy in neck & arms accompanied by twitching (fasciculations) perceived weakness, no clinical weakness. clean mri of c-spine & brain. negative for syrinx, vitamin e, b12, b6, b1, d, mag all normal?

4 doctors weighed in across 2 answers

For peace of mind and reassurance consult a neurologist with a special interest in neuromuscular disorders at a department of neurology at a university hospital near you. Bring records of all imaging & lab results.

Answered 4/29/2023

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Seek a second opinion from a Neuromuscular Specialist. Have an EMG study of your neck and arms if not done previously. Many conditions have been ruled out, but other possibilities need consideration.

Answered 5/1/2023

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