I noticed fasciculation in my calves and some very very mild cramps?

Since 1 Month I noticed fasciculation in my calves and some very very mild cramps.
I get also twitches all over in tights, biceps triceps, eye, temple but they are rare and go away.

Actions I took (given I’ve been diagnosed with Generalized Anxiety Disorder 2 months ago):

1st week: Went to see 1st neurologist which dismissed ALS/MND from the beginning based on a quick clinical exam and as he expressed “They way I walked in”.
2nd week: Saw a board neurologist with 50 years o experience is his field which he dismissed ALS/MND as well and he didn’t even considered necessarly to do an EMG study.
3rd week: Finally found a neuro-muscular specialist with 10 years of experience which agreed to do an EMG in 3 limbs (Legs, Right hand) and a nerve conduction study.

What he told me (still waiting for a final report yet):
1. No evidence of MND , he clearly stated on a white paper for me to be re-assured.
2. He suspects a lumbar radiculopathy (I do have some pain around L4-L5)
3. A pinched ulnar nerve (light) in the right elbow (according ncs) which doesn’t bother me.
4. 3rd clinical exam without any clinical weakness or athrophy noticed by all doctors.

The reason I am experiencing this anxiety is that my DAD died of ALS in 2003.
Mom mentioned that a neurologist made a genetic test for me and he found that I have no predisposition. (But I really don’t remember if I did had the genetic test or not).
Dad was sporadic I think as nobody from it’s family had any neuro diseases in the past (He has 2 sisters and 1 brother).
Grandparents were ok.

Last doctor said no EMG is required for follow up, but if I can do a spine MRI (no contrast) In 3 months would be good albeit is nothing to worry about now.

So, finally my questions are. (Being 30 years old). (Condensing)

1. Could EMG miss ALS/PLS or any MND ? If it can, what Is the chance? ( found 2,3 cases on the internet with people which claimed they started with fascics and then weakness ).
2. Could EMG study misdiagnose?

Age: 39
Male
Medications: XANAX

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Dr.Honey
Member
Dr.Honey

Hi.
Thanks for the query..

ALS, or Amyotrophic Lateral Sclerosis, is a progressive neuro-degenerative disease that affects nerve cells in the brain and the spinal cord.

There is a loss of nourishment of the muscles leading to atrophy and reduced function..

Although EMG is helpful in investigating this problem but in case if you still have a doubt you can go for other investigations like Brain and Spine MRI, anti-GM1 antibodies etc..

Also get Vitamin B 12 levels checked and creatin kinase levels..

Hope this helps..

Regards..

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