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Amyotrofisk lateralsklerose (ALS)

Sist revidert:
Sist revidert av:
Definisjon:
Progressiv nevrodegenerativ sykdom som selektivt rammer de motoriske nevroner på alle nivå - i ryggmarg, hjernestamme og motorisk cortex
Forekomst:
Insidensen er ca. 1,5-2,5 nye tilfeller pr. 100.000 innbyggere pr år
Symptomer:
Begynner oftest asymmetrisk i ekstremitetene. Typiske tidlige symptomer er svakhet og klossethet i en hånd, etter hvert utvikles atrofi av muskulatur i hånden og armen
Funn:
Tidlige kliniske funn kan være atrofisk kraftsvekkelse, ofte først i hånd og armer, lett spastisitet i armer og bein, generalisert hyperrefleksi
Diagnostikk:
Andre undersøkelser bortsett fra EMG utføres primært for å utelukke annen sykdom
Behandling:
Det finnes ingen kurativ behandling, som derfor er symptomatisk og lindrende
  • Nasjonal kompetanse­tjeneste for hjemmerespirator­behandling - NKH - nettside 
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  • Rune Midgard, dr. med., overlege og førsteamanuensis II emeritus, NTNU
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Espen Dietrichs, professor og avdelingsoverlege, Universitetet i Oslo og Nevrologisk avdeling, Rikshospitalet, Oslo