From: Conjugal amyotrophic lateral sclerosis: a case report from Scotland
Patient A | Patient B | |
---|---|---|
0 months | Onset of symptoms | |
6 months | Presentation to neurology clinic | |
10 months | Diagnosis of ALS | |
15 months | Progression of arm symptoms | |
Bilateral leg weakness | ||
18 months | Bilateral flail arms | Onset of symptoms |
Postural dyspnoea | ||
22 months | Commenced nocturnal non-invasive ventilation (NIV) | |
25 months | Commenced daytime NIV | Presentation to neurology clinic |
Swallowing difficulties | ||
Unable to walk | ||
26 months | Insertion of radiological inserted gastrostomy tube | Diagnosis of ALS |
30 months | Progression of symptoms | |
Unable to dress or eat independently | ||
53 months | Insertion of percutaneous endoscopic gastrostomy tube | |
59 months | Commenced 24-hr NIV | Commenced on intermittent NIV |
Bilateral flail arms | ||
Unable to walk more than a few steps | ||
61 months | Death | |
62 months | Death |