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What Does The Following MRI Report Indicate?
Question: Hi again Dr Panwar is just wanted to ask another follow up question regarding the twitching or fasciculation's.
From the mri report that you saw and read do you think that als could be in the equation. I have had these for a few months now and they are not going away, they are in my biceps and lower calf muscles. I really don't have any pain with them but are bothersome. I can walk, swallow and move my arms but up around my rotor cuff it is painful when I pick something up. These twitches do not last long, I am going to see my neurologist but the appointment is not for a month.
Can you tell from the mri if als is a factor that is my big question or will I need to get a emg to make sure.
Once again thanks for all you advice and knowledge.
XXXXXXX
From the mri report that you saw and read do you think that als could be in the equation. I have had these for a few months now and they are not going away, they are in my biceps and lower calf muscles. I really don't have any pain with them but are bothersome. I can walk, swallow and move my arms but up around my rotor cuff it is painful when I pick something up. These twitches do not last long, I am going to see my neurologist but the appointment is not for a month.
Can you tell from the mri if als is a factor that is my big question or will I need to get a emg to make sure.
Once again thanks for all you advice and knowledge.
XXXXXXX
Brief Answer:
MRI is not the investigation for ALS.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up again.
I should make it clear to you that ALS is not a disease which is diagnosed on MRI.In fact,MRI of brain does not have even a bit of role in diagnosing ALS.
Further,a clinical history comprising only of fasciculations,is not indicative of ALS.Fasciculations are more commonly benign and are very frequent in normal individuals as well.
ALS usually features with weakness and wasting of limbs along with fasciculations.
Still,if you are too anxious,you can get a neurological examination done for the same.EMG,just on the history of fasciculations,will be a slight over-investigation.
If you have further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
MRI is not the investigation for ALS.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up again.
I should make it clear to you that ALS is not a disease which is diagnosed on MRI.In fact,MRI of brain does not have even a bit of role in diagnosing ALS.
Further,a clinical history comprising only of fasciculations,is not indicative of ALS.Fasciculations are more commonly benign and are very frequent in normal individuals as well.
ALS usually features with weakness and wasting of limbs along with fasciculations.
Still,if you are too anxious,you can get a neurological examination done for the same.EMG,just on the history of fasciculations,will be a slight over-investigation.
If you have further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So I guess if I have no swallowing or walking problems or using my hands to due certain tasks als would be a long shot.
I guess ALS is a lot more rare than MS also so I should just wait for the EMG test in a month or so.
Getting an appointment with my regular doctor over here is like pulling teeth .
Thanks,
XXXXXXX
I guess ALS is a lot more rare than MS also so I should just wait for the EMG test in a month or so.
Getting an appointment with my regular doctor over here is like pulling teeth .
Thanks,
XXXXXXX
Brief Answer:
Can wait for month.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course.ALS is a far off possibility.Likewise MS.
You should not worry that much.EMG is not urgent here and one month is not that far.
Please be reassured.
Still further questions,I shall be glad to answer else please close the thread and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Can wait for month.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course.ALS is a far off possibility.Likewise MS.
You should not worry that much.EMG is not urgent here and one month is not that far.
Please be reassured.
Still further questions,I shall be glad to answer else please close the thread and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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