Introduction
Amyotrophic lateral sclerosis (ALS) is a progressive neurological disorder that affects nerve cells in the brain and spinal cord. ALS is also known as Lou Gehrig's disease, after the professional baseball player who was diagnosed with the condition in 1939. While there is no cure for ALS, there are treatments and therapies that can help to slow the progression of the disease. Unfortunately, diagnosing ALS can be difficult and there is a chance that the diagnosis may be wrong.
How Often is an ALS Diagnosis Wrong?
The exact rate of misdiagnosis of ALS is not known; however, studies estimate that around 10 to 20 percent of ALS cases are misdiagnosed. This means that of the estimated 5,000 to 6,000 new cases of ALS in the United States each year, up to 1,200 may be misdiagnosed.
Reasons for Misdiagnosis
There are several possible reasons for misdiagnosis of ALS. One of the main reasons is that ALS symptoms can overlap with those of other neurological conditions, such as multiple sclerosis, spinal muscular atrophy, or even stroke. Additionally, some ALS symptoms, such as muscle weakness and fatigue, can be attributed to other medical conditions, such as thyroid disease or diabetes.
Diagnostic Tests to Reduce Misdiagnosis
In order to reduce the chances of misdiagnosing ALS, doctors may order a variety of tests to rule out other conditions. These tests may include an electromyography (EMG), which measures the electrical activity of muscles; a nerve conduction velocity (NCV) test, which measures nerve impulses; and a magnetic resonance imaging (MRI) scan, which can detect changes in the brain and spinal cord. In addition, doctors may also do a lumbar puncture to test the cerebrospinal fluid (CSF) for signs of ALS.
Conclusion
While there is no way to completely eliminate the possibility of misdiagnosis of ALS, understanding the potential causes of misdiagnosis and the tests available to rule out other conditions can help to reduce the risk. It is important to remember that the earlier ALS is diagnosed, the better the prognosis and treatment options.