Primary lateral sclerosis (PLS): investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Primary lateral sclerosis (PLS): investigations. Electromyogram (EMG) is abnormal. Fully referenced neurology checklist.

Neurophysiology

  • Electromyogram (EMG) is abnormal
  • Nerve conduction studies (NCS): this shows minor sensory features

Magnetic resonance imaging (MRI): features

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Magnetic resonance spectroscopy (MRS): features

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Genetic tests

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Emerging investigations

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References

  1. Pringle CE, Hudson AJ, Munoz DG, et al. Primary lateral sclerosis: clinical features, neuropathology and diagnostic criteria. Brain 1992; 115:495-520.
  2. Turner MR, Barohn RJ, Corcia P, et al. Primary lateral sclerosis: consensus diagnostic criteria. JNNP 2020; 91:373-377. 
  3. Zhai P, Pagan F, Statland J, Butman JA, Floeter MK. Primary lateral sclerosis: a heterogenous disorder composed of different subtypes. Neurology 2003; 60:1258-1265.

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