Hello there, I am new to the forums and I would like to ask a few questions.
It’s about my mom (62F,Greek), who, after noticing some changes in speech last year, went and had an EMG, which showed abnormalities which doctors thought were consistent with ALS. Her NCS study was normal. However, she then got an MRI scan, which showed demyelinating lesions, especially in the medulla oblongata region and a spinal tap, which showed oligoclonal bands, both consistent with MS, so she was diagnosed with MS. Her symptoms have progressed over the last 1.5 year, she has trouble swallowing, breathing, slight hypoxia and elevated Paco2 levels (has been using a Bipap for the last 15 days for a couple hours/day), talking and walking. Her arms function seems to be alright, for now at least. I know that MS is not supposed to progress so fast, but she had lost her eyesight for a couple days in 1980 and in 2016 she had objects falling off her hands, along with some tingling here and there that always went away before she searched further. So, she probably has had MS for decades before her official diagnosis at 61.
Doctors here cannot rule out the possibility of MS/ALS commorbidity because of the abnormalities in her EMG, even though they admit it’s unbelievably rare.
So my question is, what do you think? Does trouble talking, walking, swallowing and breathing, along with EMG abnormalities match an MS patient with lesions in the medulla? Can MS cause abnormalities in the EMG? Has this occured to any of you or someone you know? Do you know any cases of MS/ALS commorbidities or maybe someone who was mistakenly diagnosed with ALS (or concurrent ALS and MS) when they had MS only?
I know that a healthcare professional is the best place to go to, however, living in a small Greek isle, the cases they have seen are limited so they can’t really be sure about anything, which means that your insights here could prove really valuable moving forward. If you need any more information, I will gladly provide to you.
I wish all the best to you and your loved ones and sorry for my poor English!