Man at the age 37 yrs and no other medical complications or previous medical disorder(No Bp,No cholestrol, not a diabetic) and recently found neuro motor disorder. Twitching of muscles of B/L shoulder and thighs since 2 years. Right shoulder power 2/5 B/L arms 4/5.
Wasting of B/L Trapezius deltoid, DI rhight APB and B/L Quadriceps.
MRI-Cervical spine - normal and no cord pathology
ENMG - NO denervation with fasciculation.
Cramps in B/L.
Discssued with neuro specialist, but could not find a solution to this rare medical
Amyotrophy lateral sclerosis .
Pls. suggest a treatment.