{"id":382,"date":"2014-05-07T01:26:18","date_gmt":"2014-05-07T01:26:18","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jnnp\/?p=382"},"modified":"2014-05-07T01:26:18","modified_gmt":"2014-05-07T01:26:18","slug":"making-a-correct-diagnosis-in-als-matters","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/05\/07\/making-a-correct-diagnosis-in-als-matters\/","title":{"rendered":"Making a correct diagnosis in ALS matters!"},"content":{"rendered":"<p>The diagnosis of amyotrophic lateral sclerosis (ALS) is one of exclusion, relying on the identification of upper and lower motor neuron features.\u00a0 Far too often ALS patients are midiagnosed with radiculoapthy potenitally resulting in unncessary surgery.\u00a0 While this was seen as a inconvnience, in the June issue of JNNP Pinot and colleagues report on a far more sinister effect.\u00a0 Specifcially, the surgery was associated with a more rapid rate of disease progression and thereby morbidity and mortality.\u00a0\u00a0 This study underscores the importance of an accurate diagnosis, but also discretion on the part of the physician\/surgeon.<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Read more at http:\/\/jnnp.bmj.com\/content\/85\/6\/643.abstract<\/strong><\/em><\/p>\n<p>&nbsp;<\/p>\n<div class=\"cit-metadata\">\n<h4 class=\"cit-first-element cit-title-group\"><span class=\"cit-series-title\">Short report<span class=\"cit-sep cit-sep-after-article-series-title\">:<\/span> <\/span>Does surgery accelerate progression of amyotrophic lateral sclerosis?<\/h4>\n<ul class=\"cit-auth-list\">\n<li class=\"first-item\"><span class=\"cit-auth cit-auth-type-author\">Susana Pinto<\/span><span class=\"cit-sep cit-sep-separator\">, <\/span><\/li>\n<li><span class=\"cit-auth cit-auth-type-author\">Michael Swash<\/span><span class=\"cit-sep cit-sep-separator\">, <\/span><\/li>\n<li class=\"last-item\"><span class=\"cit-auth cit-auth-type-author\">Mamede de Carvalho<\/span><\/li>\n<\/ul>\n<p><cite><abbr class=\"site-title\" title=\"Journal of Neurology, Neurosurgery &amp; Psychiatry\">J Neurol Neurosurg Psychiatry<\/abbr> <span class=\"cit-print-date\">2014<span class=\"cit-sep cit-sep-after-article-print-date\">;<\/span><\/span><span class=\"cit-vol\">85<span class=\"cit-sep cit-sep-after-article-vol\">:<\/span><\/span><span class=\"cit-pages\"><span class=\"cit-first-page\">643<\/span><span class=\"cit-sep\">&#8211;<\/span><span class=\"cit-last-page\">646<\/span><\/span><span class=\"cit-ahead-of-print-date\"><span class=\"cit-sep cit-sep-before-article-ahead-of-print-date\">Published Online First: <\/span>6 August 2013 <\/span><span class=\"cit-doi\"><span class=\"cit-sep cit-sep-before-article-doi\">doi:<\/span>10.1136\/jnnp-2013-305770 <\/span><\/cite><\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The diagnosis of amyotrophic lateral sclerosis (ALS) is one of exclusion, relying on the identification of upper and lower motor neuron features.\u00a0 Far too often ALS patients are midiagnosed with radiculoapthy potenitally resulting in unncessary surgery.\u00a0 While this was seen as a inconvnience, in the June issue of JNNP Pinot and colleagues report on a [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/05\/07\/making-a-correct-diagnosis-in-als-matters\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-382","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/comments?post=382"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/382\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/media?parent=382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/categories?post=382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/tags?post=382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}