Case Studies

A rare case study involving a a married couple both diagnosed with ALS within a year of one another. The first to develop symptoms was patient A , a 71-year-old man who presented with unilateral arm weakness and wasting which then progressed to difficulty speaking and swallowing. A few months later 68 year old Patient B presented doctors with unilateral shoulder and elbow weakness. Diagnosis of amyotrophic lateral sclerosis was made within a few months of presentation in both cases, based on typical clinical symptomatology together with supportive neurophysiological testing. Interventions included enteral feeding and non-invasive ventilation. The time period between symptom onset and death was 5 years for Patient A and 3.5 years for Patient B.