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Focus on ALS
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Source: Cleveland Clinic
Brisk Reflex
A condition that describes the deterioration of the upper motor nerve
cells (neurons).
Bulbar Muscles
The muscles that control the speech, chewing and swallowing.
Classical ALS
A progressive neurological disease characterized by a deterioration of upper
and lower motor nerve cells (neurons). This type of ALS affects over two-thirds
of all people with ALS.
Dysarthria
Impaired speech and language due to weakness or stiffness in the muscles
used for speaking.
Dysphagia
Impaired chewing and swallowing.
Exertional Dyspnea
A condition characterized by shortness of breath during physical activity.
Familial ALS (or FALS)
A progressive neurological disease that affects more than one member of the
same family. This type of ALS accounts for a very small number of people with
ALS in the United States (5-10%).
Fasciculations
Non-painful, rapid and involuntary contractions or twitchings of groups
of muscle fibers.This is often described by people with ALS as “a persistent
rolling beneath the skin.”
Flaccid, Weak Muscles (also Hypotonicity)
A condition characterized by a decrease or loss of normal muscle tone due to
the deterioration of the lower motor nerve cells.
Hyperreflexia
Excessive response of muscle reflexes when a normal stimulus is applied.
Hyporeflexia
Weak or absent muscle response when a normal stimulus is applied.
Lower Motor Neurons
Nerve cells (neurons) situated in the spinal cord and brain stem and
their projections (axons) forming nerves that end in the muscle fibers.
Motor Neuron Diseases
A group of disorders in which motor nerve cells (neurons) in the spinal
cord and brain stem deteriorate and die. ALS is the most common motor neuron
disease.
Muscle Atrophy
Loss of muscle fiber volume characterized by a visible decrease in
muscle size. This occurs because muscles no longer receive impulses, or "messages,"
from nerve cells (neurons).
Muscle Cramps, Unexpected
Involuntary, painful shortening of muscles. Usually, a knotting of
the muscles is visible.
Muscle Weakness
Loss of strength, increased fatigue, loss of coordination and difficulty with
motor skills and lack of ability to carry out certain skills.
Primary Lateral Sclerosis (PLS)
A progressive neurological disease in which the upper motor nerve cells(neurons)
deteriorate. If the lower motor neurons are not affected two years, the disease
usually remains a pure upper motor neuron disease. This is the rarest of all
forms of ALS.
Progressive Bulbar Palsy (PBP)
A condition that starts with difficulties speaking, chewing and swallowing
due to lower motor nerve cell (neuron) deterioration. This disorder affects
about 25% of all people with ALS.
Progressive Muscular Atrophy (PMA)
A progressive neurological disease in which the lower motor nerve cells
(neurons) deteriorate. If the upper motor neurons are not affected within two
years, the disease usually remains a pure lower motor neuron disease.
Pseudobulbar Palsy
A condition that is characterized by difficulties with speech, chewing
and swallowing. These symptoms resemble those of bulbar palsy, but this condition
is also characterized by spontaneous or unmotivated crying and laughing.
Sialorrhea
Drooling resulting from the lack of spontaneous, automatic swallowing to clear
excessive saliva in the mouth.
SOD1 positive FALS
The copper-zinc SOD (SOD1) is the first gene found to have mutations resulting
in approximately 20% of FALS, or approximately 1-2% of all ALS.
Spasticity
A state of increased muscle tension when the muscle is lengthened.
Often involves an exaggeration of the tendon reflexes.
Spinal Muscular Atrophy (SMA)
A hereditary neurological disease in which only the lower motor nerve cells
are affected.
Upper Motor Neurons
Nerve cells (neurons) originating in the brain’s motor cortex and their projections
(axons) descending through the brainstem and spinal cord.
Source Cleveland Clinic