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Hello Valerie , I am Dr. Arun and will be helping you today.
ALS typically progresses within the area first affected and then to adjacent, contiguous regions. The symptoms do not regress or resolve usually. The diagnoses of ALS requires the following criteria;
1) Signs of lower motor neuron (LMN) degeneration by clinical (physical exam), electrophysiological (EMG and NCV) or neuropathologic examination,2) Signs of upper motor neuron (UMN) degeneration by clinical examination, and3) Progressive spread of signs within a region or to other regions, together with the absence of:a) absence of other neurological diseases by the electrophysiological studies.b) Neuroimaging (CT scan or MRI) evidence of other disease.Thus your symptoms are unlikely to be ALS. Your symptoms are best explained by the migraine variants (atypical migraine), which have various neurological symptoms. Please read about the various wide presentation of the migraine variants in this authentic resource;http://emedicine.medscape.com/article/1142731-overviewThe other possibilities to consider for your symptoms would be:1) Electrolyte derangement; unusual activity or unaccustomed activity 3-4 days ago before the episode may be responsible for it.2) Increased caffeine or alcohol (if you do)3) Medications or herbs (if you were on any). 4) Deficiency of vitamins.You may consider following investigations (if not done earlier) just for the precautions;
1) electromyography (EMG)
2) nerve conduction velocity (NCV)
3) blood electrolytes like calcium, magnesium, potassium, sodium, etc
4) thyroid and parathyroid function tests
5) blood chemistry and complete metabolic profile.
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thank you for your answer.I am happy to know that it doesn't sound like ALS. I had blood work done about a month ago. thyroid was normal. potassium and b12 was low and now taking supplements. the twitches and and leg issues subside when I walk...i also have shin splits like pain but i believe that would be due to the vitamin def. would that explain things?