Diagnosis
Amyotrophic Lateral Sclerosis (ALS)
Diagnosing ALS can be difficult because the symptoms of ALS can mimic
symptoms of other diseases or disorders. The doctor will begin by discussing
your symptoms with you. He or she will then perform a physical examination
and one or more of the following tests:
- Electromyography (EMG)
During an EMG, a technician will insert a needle electrode
into one of your muscles. A mild electrical current will be sent
through the electrode to see how your muscles respond. Information
about your muscles at rest and during contraction will be recorded.
- MRI
scan (Magnetic Resonance Imaging)
This painless scan uses magnetic waves to create two- and three-
dimensional images of the inside of your body.
- Biopsy of muscle tissue
A small piece of muscle tissue will be removed so that it can be
examined and tested. The piece of tissue may be extracted with a
needle or the doctor may have to make a small incision in the skin
to obtain the sample.
- X-rays
This painless scan uses
radiation to produce images of bones and tissue.
- Blood or urine samples
If you are diagnosed with ALS, a life-threatening disease,
it is always important to get another opinion from a medical expert
to confirm the diagnosis. It is also
important to schedule an appointment with a doctor who is an expert
in caring for patients with ALS. This is often a neurologist specializing
in neuromuscular diseases. Your doctor may be able to
recommend a specialist. The ALS Association also offers a list of centers
across the United States on their Web site at: http://www.alsa.org/community/article.cfm?id=638
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