Worried Wife

[Guest]

i was wondering if anyone has EMG reading skills my husband who is only 30 years old had a abnormal EMG yesterday and they said he has MND based of EMG.

he has had bodywide twitching for 6 months and no other symptoms he has no umn signs or weakness just twitching and a abnormal EMG and now we re getting a 2nd opinion from a A specialist. Any advice would be appreciated. thank you

[Lynne K]

Hi Worried One. Who sent your husband for EMGs? Is it nerve and muscle test which all of us with MND have had? We usually start at our GP and get referred to a Neurologist who sends us for these sort of tests and in my case an MRI when they suspect MND. They don't usually tell us until all test results are in. Lynne

[Ellie]

Hi, what were the EMG results and did you get the report summary?

Are you saying that he has no confirmed clinical weakness in limbs or bulbar region?

Love Ellie.

[Guest]

His GP sent him after he started twitching. The neuro scheduled an EMG at first visit and sent him for lab work for vitamin deficincy and a chest xray. after his emg they scheduled a follow up emg for 4 months later, that came up dirty, No clinical no MRI no Lyme check or ck level check. no biopsy or lumbar puncture. Straight to MND diagnoses written on the emg result. but he told him he could not diagnose him so he was sending him to an als specialist. even though he has no weakness or anything. seems to me like they rushed through many steps and scared the holy crap out of us

[Guest]

He has no weakness or atrophy just fasics for 6 months all over his body. nothing even picked up fasics or anything in his bulbar region

[Guest]

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[Ellie]

I am glad he is getting a 2nd opinion from an ALS Specialist. I hope he won't have to wait long for that appt.

For your husband not to have any functioning failures at this point is a positive, i.e. he obviously can do up buttons, laces, walk on tip toes, heels etc. There are a lots of "Normal" results shown too.

He def should have an MRI to rule out radiculopathy, which is also a possibility, and have full lab work and a clinical exam.

Best of luck to you both .

Love Ellie.

[Guest]

Thank you for your reply, so in your opinion does this sound like a misdiagnoses or a jump the gun diagnoses? He has a new gp he is going to see monday and im gonna tell her everything hopefully she will do the mri and labwork. After we see her we can get the referral for the als specialist pushed through and he is with mayo clinic so im hoping this is a case of bad judgemnt of his current neurologists. And the new one will fully check him out and give us better news.

[Ellie]

It's more a case of inconsistencies really - an EMG suggestive of ALS should show chronic changes in addition to actives denervation, for example.

And then there's the lack of ruling out mimic diseases/conditions. Usually the diagnosis of ALS is given when other options have been ruled out, it shouldn't be given lightly.

Sometimes very early LMN symptoms are hidden in a Clinical exam but can be clearly picked up on an EMG.

Best wishes to you both at the Mayo.

Love Ellie.