title: Atypical presentations of amyotrophic lateral sclerosis: a case report.
abstract: Amyotrophic lateral sclerosis (ALS) with atypical symptoms poses a diagnostic challenge to clinicians, frequently resulting in delayed diagnosis. The patient reported here presented with unexplained weight loss and was investigated for 8 months, with an extensive work-up, including several imaging studies, especially to rule out neoplastic processes, before a diagnosis of ALS could be made, largely on the basis of upper and lower motor weakness.
authors.affiliation: Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, KY, USA.
authors.forename: Valentina
authors.initials: V
authors.lastname: Moirangthem
authors.forename: Madhu Micheal
authors.initials: MM
authors.lastname: Ouseph
mesh_terms: D000690:Amyotrophic Lateral Sclerosis / Q000175:diagnosis* / Q000628:therapy*; D001706:Biopsy; D004569:Electroencephalography; D004576:Electromyography; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology / Q000503:physiopathology