Abstract

Therefore, we investigated differences in electrophysiological findings and clinical symptoms of ALS by comparing patients with rapid and slow clinical courses. In 40 ALS patients, 14 patients showed a clinical course lasting less than one year and 13 patients showed a clinical course lasting more than three years. The mean interval from onset to diagnosis of ALS patients with a rapid clinical course was shorter than that of patients with a slow clinical course (4.3 months vs. 20 months P< 0.05). Patients with a rapid clinical course showed FPs in almost all muscles in the examined extremities. The muscle number showing FPs was more than that of patients with a slow clinical course (96.3% vs. 53.1% P< 0.05). However, the rate of muscle with fibs-sw between these groups did not differ significantly. Conclusion: The rate of muscle showing FPs may assist in predicting the clinical prognosis.

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