Hi there. I hope you can help me. I have had strange very disruptive symptoms recently. My arms have been burning inside, numb/ tingly and weak feeling -they tire easily when lifting things for 6 weeks- especially started in my left arm. I also feel internal vibration and tremor with them. EMG was normal last week on upper extremities. Brain MRI normal. Neuro exam was normal. All autoimmune
diseases and viruses have been ruled out. Sedimentation rate, ANA, RA normal. Regular blood work last month was normal. Cardio ECG was ok and ok chest x ray. I had twitches on my shoulders yesterday. I had a cold in Dec.
Since my last Neuro visit last week, I mentioned to the Rheumatoid md that they sent me to to rule out auto immune issues, that I have been noticing funny feeling/ weakeness in left leg for a week. But I can lift and push and move my leg just as much even though it 'feels' weak only inside. Left toe was numb for 2 nights when I woke up. Now my tongue is numb on the tip. I had been taking Antibiotics for an ear blister but iv been fine with no reaction for all 10 days of the atb. My Rheumatoid is not up on ALS. She does not think I have fybroymyalgia or Lupus or anything like this.
I asked a neuro on your site since much is already ruled out if this could this be ALS? Does ALS display like this? And so quickly in various locations ? Could it have been that it didn't show up on upper EMG as it wasn't ALS but it is in my leg now? Very worried about ALS.
The neuro on this website responded:"ALS will be very unlikely given that you are having sensory symptoms. ALS is a MOTOR neuron disease, meaning that it can produce symptoms that include muscle weakness, atrophy (decreased size of muscle), and muscle twitching, but it will NOT produce numbness, tingling, or burning sensations. Therefore, it becomes very unlikely that you are dealing with ALS or similar motor neuron disorders." KarayanMD
I then asked this question back to the neuro on your site but I never got a response from your site: "Thanks for your helpful reply. However my leg though is feeling weak as i mentioned- for a week with no numbness. Could this be ALS? The numbness (sensory you mentioned which is not part of ALS) is only in the toe tip. I can still move my leg with the same strength though but it "feels weaker" than the other.
Do you think this could be ALS?
If not, what do you think could cause my toe and tongue numbness?
Also do you think this could all be signs of a tumor? Spinal or other?"
Person's Gender: Female
Person's Age: 35
Neuro, MRI, EMG on upper extremity, Cardio, Inf Disease MD, and Rheumatid MD.