3 doctors weighed in:

Is it true fasciculations in the tongue usually means als? Can you have myokymia in the tongue?

3 doctors weighed in
Dr. Olav Jaren
Neurology
1 doctor agrees

In brief: Tongue fascics & ALS

If you have fascics in the tongue, you have changes in the tongue muscle or nerve supply to the tongue.
It would be unusual for this to be the only symptom or sign of ALS. Physicians may look at a person's tongue for this sign when they have symptoms of weakness elsewhere.

In brief: Tongue fascics & ALS

If you have fascics in the tongue, you have changes in the tongue muscle or nerve supply to the tongue.
It would be unusual for this to be the only symptom or sign of ALS. Physicians may look at a person's tongue for this sign when they have symptoms of weakness elsewhere.
Dr. Olav Jaren
Dr. Olav Jaren
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Dr. Gene Tekmyster
Physical & Rehabilitation Medicine

In brief: ALS

Fasiculations in the tongue is a sign for ALS.
This is because ALS is a combination of central and peripheral nerve disease. Myokymia is a muscle based definition, and can sometims be normal and as such usually does not effect the tongue, which is controlled by a cranial nerve. Tongue fascinations alone do not mean ALS, and further testing is necessary.

In brief: ALS

Fasiculations in the tongue is a sign for ALS.
This is because ALS is a combination of central and peripheral nerve disease. Myokymia is a muscle based definition, and can sometims be normal and as such usually does not effect the tongue, which is controlled by a cranial nerve. Tongue fascinations alone do not mean ALS, and further testing is necessary.
Dr. Gene Tekmyster
Dr. Gene Tekmyster
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