Recent EMG, neurological and muscle issues

it depends on your symptoms, I had an emg and along with my symptoms it appeared that i had a myopathy but couldnt  determine the type of myopathy, from their i was sent to a neuromuscular specalist who did another emg with the same result thinking i had a myopathy, i was then sent to have a muscle biopsy which showed that i had a core myopathy. then genetic testing to find the cause, and last week an mri to try and determine what type of core myopathy i have.

Not sure what kind of symptoms you are having but I was diagnosed with a muscle disorder called Dermatomyositis. I never had the biopsy or EMG but I did have blood work that primarily diagnosed me. My rheumatologist found it and got my treatment started and that was in 2008. I took meds for about a year and since then I've only had one flare up that was bad enough I had to go back on the treatment for a short while.

Hi

I was referred to a neurologist 3 years ago and I am still waiting for some sort of diagnosis. I have had EMG which showed definite abnormalities. I have also had many MRI's and a muscle biopsy. It was looking like a muscular dystrophy but not all test results concur with this. I live in Blackpool and saw the first neurologist here. I was then referred to Manchester and now I am under the care of Newcastle Genetic Centre and a Professor there has sent my bloods to Queens Square in London. They are looking at a rare Ion Channelopathy. I had my bloods taken last July and almost 12 months later the results aren't in !! This is how long it takes I have been told. I take amitriptyline at

night which really helps me settle to sleep. I am getting weaker so would love a diagnosis. My problems all started when I noticed my right calf had become noticeable smaller than my left.

I hope you get quicker answers

Regards Ellen

Oh wow! So, it sounds like perhaps I shouldn't expect an answer next month as he promised?! Goodness. I was so hoping for answers finally, but am definitely used to waiting and waiting for them. I first started looking for answers in 2008 when I was 21. I had been very active and was beginning graduate school but began doing so bad that one of my supervisors actually refused to supervise me any longer for my clinical because she believed I was hurting myself by continuing to try to work. My fatigue was bad, my weakness was worse, and I ended up in a wheelchair and bed bound by 2009. They did discover an immune dificieny and began to treat that with immunoglobulin (I also received premiers of steroids at this time). I began to gather strength back and eventually...my life back. Yet, I've never been the same. Still not able to run or anything. I still have always noticed raising my hands above my head. Always been weaker than I should be.

I eventually had to come off of the immunoglobulin as I have a clotting disorder and had clots in my lungs in 2014. They have discovered that the immunoglobulin in contraindicated for those with a clotting disorder. Since then, I have gotten weaker and weaker it seems. The neurologist is thinking that the immonoglobulin may have been helping manage a muscle disease (coupled with steroids). Even on it, I couldn't walk a long distance without becoming very weak. At work I had special accommodations on my campus so that I could work in the closest buildings.

So, now at Easter it appeared I had a stroke like episode. There is a small spot on the MRI, but it's small enough that it lends itself to a differential diagnosis. I have had right sided weakness (coupled with the generalized weakness), difficulty articulating, drop foot when walking long distances, etc.

He was very interested in a rash I had on my upper arms that just stopped like a line at my elbow. I typically get a rash like that on my arms, chest, and face when I become extremely tired. I also become very very foggy headed. I'm not sure what he was making of that, just that he was very interested in it.

He did say that it's possible that hemiplegic migraines are playing some part in this (I have a strong migraine history), but if they are, he believes it is coupled with a muscle disorder or systemic issue like Lupus.

I think the "systemic issue like Lupus" is one big thing that threw me off. I know he can see a muscle disorder on an EMG, but I'm wondering where the systemic issue like Lupus is coming from? Can Lupus cause issues that can be seen on an EMG?