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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 8999
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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About two weeks ago I started having tingling and slight

Customer Question

Hi - about two weeks ago I started having tingling and slight numbness, pins and needles on my whole right side. It stopped for a few days but came back but on both sides along with some vision changes. I recently started have twitching and muscle atrophy on my right leg. Now I notice some atrophy on my left leg. I'm still getting pins and needles sensations here and there along with an electric sensation up and down my body and also some burning. I had a clean MRI of brain and passed my neurological physical tests. My dr has ordered an EMG and nerve conduction study. I'm terrified I have ALS. My strength is good but I feel week all over. Most likely because I'm not eating because I'm so stressed and worried. Could there possibly be another explanation?
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Frank replied 1 year ago.

Hello welcome to JA. Another explanation for twitching includes a benign condition called BFS (benign fasciculation syndrome) where you have frequent diffuse twitches, mostly on the face but all over the body, and you can have paresthesis or numbness/tingling. This condition can be seen associated with anxiety/depression or other metabolic diseases like hyperthyroidism. But you do not have weakness, and you do not have atrophy of muscles with BFS. However, ALS or other motor neuron diseases do not cause sensory symptoms by themselves, so the electric sensation, burning sensation and tingling/numbness do not fit the clinical picture of ALS. Please get back to me with questions and I will reply. Or, if satisfied, please remember to rate my service by clicking on the rating stars, as that is how I am compensated for this work thanks *****