The clinical diagnosis of ALS is suggested when there are signs of both upper and lower motor neuron dysfunction without other CNS dysfunction. ALS-like symptoms can be seen with other systemic illnesses such as diabetes, dysproteinemia, thyroid dysfunction, vitamin B 12 deficiency, lead toxicity, and vasculitis, as well as CNS and spinal cord tumors. The diagnosis of ALS also requires that other inflammatory neuropathies such as myasthenia gravis be excluded. Established criteria for the diagnosis of ALS, the El Escorial criteria, have been developed by the World Federation of Neurology. 7
Electromyography (EMG) is the most useful diagnostic tool, showing decreased muscle action potential amplitude and decremental responses to repetitive nerve stimulation
Was this article helpful?
All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.