Patient's Query
Hello doctor,
I have a question regarding amyotrophic lateral sclerosis (ALS) vs benign fasciculation syndrome (BFS). I have severe anxiety, a kind of shakes when arms are crossed, swollen lymph node on the left side of neck, sore wrists, muscle spasms in calves, and on out stretch the left arm gets fatigued. I have done magnetic resonance imaging (MRI), electrocardiogram (EKG), and magnetic resonance imaging (MRI) cervical spine.
Hello,
Welcome to icliniq.com. I understand your concern and would explain that ALS (amyotrophic lateral sclerosis) does not usually cause just fasciculation. It is usually associated to progressive paralysis and muscle wasting in the hands and legs. Other symptoms like troubles with swallowing, breathing occur later after some months. During physical exam pyramidal signs and diminished neurological reflexes can be seen (by the doctor). So, I do not think that your symptoms are related to ALS. On the other hand the inflamed lymph node in the neck is not related to ALS. Nevertheless, the nerve conduction studies would help to definitely exclude ALS. You should discuss it with your doctor on the above test. I would also advise checking vitamin D and vitamin B12 levels for possible deficiency, thyroid hormone levels for possible imbalances. I hope this helps.
Patient's Query
Thank you doctor,
He already did an electrocardiogram (EKG)? Isn't that a nerve conduction study? He zapped my arm over and over. Do you have any idea of when I stretch my arms straight it gets locked up? I woke up one day and it was just like that.
Hello,
Welcome back to icliniq.com. The EKG (electrocardiogram) is a test that examines the heart. Nerve conduction studies are called ENG (electronystagmography) and are performed with a small amount of electricity induced by electrodes in the arm and fingers. Do you remember such test? If no, I would recommend performing it. Regarding the spasm in your arm, it could be related to a wrong position during sleep. I recommend trying to stretch your arm frequently during the day. In the meantime, I recommend trying magnesium supplements to help against the cramps.
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Answered byDr. Aida Abaz Quka
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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