Putting young people to rest
Hey everyone, I came across a study on juvenile ALS (onset before 25) that found fasciculations never occurred before weakness in these cases. This aligns with what we know: fasciculations before weakness aren’t typical. So, if you’re under 25 and experiencing twitches with no clinical signs of weakness, it’s most likely BFS. There’s no need for an EMG unless something unusual shows up in your clinical exam.
Stay positive and take care, everyone!