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Neurology International
Volume 6
Issue 3
10.4081/ni.2014.5208
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Another Perspective on Fasciculations: When Is It not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy?

by
Marco Antonio Araujo Leite
1,*,
Marco Orsini
1,
Marcos R.G. de Freitas
1,
João Santos Pereira
1,2,
Fábio Henrique Porto Gobbi
3,
Victor Hugo Bastos
4,
Dionis de Castro Machado
4,
Sergio Machado
5,
Oscar Arrias-Carrion
6,
Jano Alves de Souza
1 and
Acary Bulle Oliveira
7
1
Neurology Service, Movement Disorders Unit, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
2
Neurology Service, Movement Disorders Unit, Fluminense Federal University, Niterói, Rio de Janeiro; Neurology Service, Rio de Janeiro University, Brazil
3
Neurology Department, São Paulo University, Brazil
4
Departament of Physiotherapy, Piaui Federal University, Parnaíba, Brazil
5
Physical Activity Neuroscience, Physical Activity Sciences Postgraduate Program, Salgado de Oliveira University, Niterói, Brazil
6
Movement Disorders and Sleep Unit, General Hospital Dr. Manuel Gea González, Secretaria de México D.F., Mexico
7
Neurology Service, São Paulo Federal University, São Paulo, Brazil
*
Author to whom correspondence should be addressed.
Neurol. Int. 2014, 6(3), 5208; https://doi.org/10.4081/ni.2014.5208
Submission received: 29 November 2013 / Revised: 29 November 2013 / Accepted: 28 March 2014 / Published: 8 August 2014

Abstract

Fasciculations are visible, fine and fast, sometimes vermicular contractions of fine muscle fibers that occur spontaneously and intermittently. The aim of this article is to discuss the main causes for fasciculations and their pathophysiology in different sites of the central/peripheral injury and in particular to disprove that the presence of this finding in the neurological examination is indicative of amyotrophic lateral sclerosis. Undoubtedly, most fasciculations have a distal origin in the motor nerve both in normal subjects and in patients with motor neuron disease. Most of them spread to other dendritic spines often producing an antidromic impulse in the main axon. The clinical and neurophysiological diagnosis must be thorough. It may often take long to record fasciculations with electroneuromyography. In other cases, temporal monitoring is necessary before the diagnosis. The treatment, which may be adequate in some cases, is not always necessary
Keywords: fasciculations; neurological diseases; electromyography treatment fasciculations; neurological diseases; electromyography treatment

Share and Cite

MDPI and ACS Style

Leite, M.A.A.; Orsini, M.; de Freitas, M.R.G.; Pereira, J.S.; Gobbi, F.H.P.; Bastos, V.H.; de Castro Machado, D.; Machado, S.; Arrias-Carrion, O.; de Souza, J.A.; et al. Another Perspective on Fasciculations: When Is It not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy? Neurol. Int. 2014, 6, 5208. https://doi.org/10.4081/ni.2014.5208

AMA Style

Leite MAA, Orsini M, de Freitas MRG, Pereira JS, Gobbi FHP, Bastos VH, de Castro Machado D, Machado S, Arrias-Carrion O, de Souza JA, et al. Another Perspective on Fasciculations: When Is It not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy? Neurology International. 2014; 6(3):5208. https://doi.org/10.4081/ni.2014.5208

Chicago/Turabian Style

Leite, Marco Antonio Araujo, Marco Orsini, Marcos R.G. de Freitas, João Santos Pereira, Fábio Henrique Porto Gobbi, Victor Hugo Bastos, Dionis de Castro Machado, Sergio Machado, Oscar Arrias-Carrion, Jano Alves de Souza, and et al. 2014. "Another Perspective on Fasciculations: When Is It not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy?" Neurology International 6, no. 3: 5208. https://doi.org/10.4081/ni.2014.5208

APA Style

Leite, M. A. A., Orsini, M., de Freitas, M. R. G., Pereira, J. S., Gobbi, F. H. P., Bastos, V. H., de Castro Machado, D., Machado, S., Arrias-Carrion, O., de Souza, J. A., & Oliveira, A. B. (2014). Another Perspective on Fasciculations: When Is It not Caused by the Classic form of Amyotrophic Lateral Sclerosis or Progressive Spinal Atrophy? Neurology International, 6(3), 5208. https://doi.org/10.4081/ni.2014.5208

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