Charlie, no exposure that i can think of to Carbon Monoxide that was at all memorable. Thanks for thinking! Phil, i do not believe i could possibly have ALS at this point, and i don't seem to fit this OPCA either, but SNG seems a possibility. We may have made some headway in getting responsible neuro care, although we have to go to MD to get it. With the help of the oncologist husband of a cousin in OR, my wife got me an appt at Johns Hopkins in mid-July - provided i get them all my medical records beforehand [something the bozos @ Rbt Wood Johnson have so far been unwilling to do!] Odd, i suppose, to be "hoping" for a diagnosis of PD.............. --- Original Message ----- From: Phil Tompkins <[log in to unmask]> To: <[log in to unmask]> Sent: Thursday, June 17, 1999 9:14 PM Subject: Re: Fw: Re: PET Scans-advice requested > BRUCE, > > Were you checked for SNG, OPCA, ALS? I hope you don't have one of > these. They sound really grim. May you have strength. > > Best wishes, > Phil Tompkins > > From: > http://www.healthguide.com/english/brain/pd/otherillv.htm > (Johns Hopkins) > > Striatonigral Degeneration. Mimics PD in that bradykinesia and > rigidity are common symptoms. Resting tremor may also be present. The > disorder affects both sides of the body at the same time. Early signs > of the disorder are increased tendency to fall and problems with > speech and swallowing. (no responsse to levodopa - dr. lieberman's > book) > > Olivopontocerebellar Degeneration. People who suffer from this > disorder have problems with their ability to walk and to maintain > their balance. Tremors may be present but the bradykinesia and > rigidity seen in PD are not. The disorder is rare and does not respond > to anti-parkinson medications. > > From: > http://www.ninds.nih.gov/HEALINFO/DISORDER/opca/OPCA.HTM > > DESCRIPTION: Olivopontocerebellar atrophy (OPCA) refers to a group of > ataxias characterized by progressive neurological degeneration > affecting the cerebellum, the pons and the inferior olives. OPCA may > be classified based on clinical, genetic, or neuropathological > findings; thus, there are many classifications of the disorder. Among > the different classifications there is wide variation in severity and > age of onset. The symptoms of OPCA differ from person to person. Most > patients experience difficulty with balance and coordination of the > legs and arms (ataxia) and slurred speech (dysarthria). Other symptoms > may include muscle spasms or weakness and stiffness of the muscles; > numbness or tingling of the hands or feet; tremor (shaking) of the > hand or arm; reduction or slowness of movements; loss of thinking > and/or memory skills; difficulty controlling the bladder or bowels; > and feeling faint when standing up. Some patients also have fatigue > and/or trouble with sleep. Generally symptoms of OPCA begin in > mid-adult life and progress slowly over the course of many years. > > From: http://www.nbhd.org/services/neuro/alssymps.htm (The North > Broward Hospital District Neurosciences) > > Symptoms of Amyotrophic Lateral Sclerosis > > The onset-symptoms of ALS the may be so slight that they are > frequently overlooked. Appearance of symptoms in the course of > the disease may include the following: > > * twitching and cramping of muscles, especially those in > the hands and feet > * impairment in the use of the arms and legs > * tripping > * dropping things > * abnormal fatigue of the arms and/or legs > * uncontrollable periods of laughing or crying > * slurred or thick speech and difficulty in projecting the > voice > * in more advanced stages: shortness of breath, difficulty > breathing, and difficulty swallowing > > The hands and feet may be affected first, causing difficulty in > walking or using the hands for the activities of daily living such as > dressing, bathing, and buttoning clothes. As the weakening and > paralysis continue to spread to the muscles of the trunk of the body, > the disease eventually affects swallowing, chewing, and breathing. > When the breathing muscles are attacked, the patient faces permanent > ventilator support in order to survive. > > The sense of sight, touch, hearing, taste and smell and muscles of the > eyes and bladder are generally not affected. The mind is not impaired > and remains sharp despite the progressive degenerating condition of > the body. > > From: http://www.caregiver.org/factsheets/als.html > > (ALS) Approximately one-third of patients become aware of the onset of > the disease when their hands become clumsy, causing difficulty in the > performance of fine tasks. Another one-third experience weakness in > the legs and may trip because of mild foot drop. The remaining > one-third notice slowing of speech or difficulty in swallowing. ALS > may be present for some time before any symptoms are noticed. This > lack of noticeable symptoms occurs because the lost or damaged nerve > cells are compensated for by nerve cells that remain functioning. One > early symptom is generalized fatigue. As muscle cells deteriorate, > patients may experience stiffness or occasional jerking of the arms or > legs resulting from spasticity (muscle tenseness). Often symptoms > begin in the hands and feet, then travel inward toward the center of > the body. One side is usually more affected. Paralysis eventually may > be virtually complete, except for the muscles of the eyes. Anal and > bladder muscles and function are not usually affected. >