Amyotrophic Lateral Sclerosis (ALS) (Lou Gehrig's Disease)
Amyotrophic Lateral Sclerosis (ALS), commonly referred to as Lou
Gehrig's disease, is a degenerative disease of the nervous system.
ALS causes a gradual degeneration of the nerve cells in the brain,
brain stem and spinal cord that control movement of the skeletal
muscles, resulting in progressive weakness and loss of use of involved
muscles. ALS may involve muscles of the limbs or trunk, as well
as those used in speaking and swallowing. The loss of muscle function
is determined by which motor neurons are involved. The pattern of
muscle deterioration and the rate of progression can vary widely
from person to person, however in most cases ALS results in respiratory
muscle weakness that causes difficulty in breathing. Although there
is an average two to three year survival rate, about 20% of patients
may live much longer. People who live longer than five years can
live for many years, although often much assistance is needed. Dr.
Stephen Hawking, the physicist and author is one such survivor.
Symptoms
At the onset of ALS, symptoms may not be recognized and can be
overlooked. Some of the potential symptoms are:
- Muscle weakness in hands, arms, legs or the muscles of swallowing,
speaking and/or breathing (causing tripping, fatigue, dropping
things)
- Twitching and/or cramping of muscles, especially those in the
hands and feet
- Impairment in the use of arms and legs
- Thick speech and difficulty in projecting the voice
Not all people experience the same symptoms, but progressive muscle
weakness and paralysis usually occur in all ALS patients. Because
ALS affects only motor neurons, the senses of sight, touch, hearing,
and smell as well as mental functions remain intact. The heart and
digestive system are also not affected. ALS is not a contagious
disease and less than 10% of cases are hereditary.
Treatment
The cause of ALS is not completely understood but there is a great
deal of new scientific understanding regarding the physiology of
the disease. There are some experimental drugs being used to help
slow or stop the progression of the disease. Rilutek ™ is
the first FDA approved drug and has been reported to extend survival
for a few months in ALS patients.
When the breathing muscles in ALS patients become affected, patients
will need permanent support to breathe. Some patients are candidates
for nasal ventilation support, which can be easily applied with
a facemask and used at home. Persons who are able to talk and do
not have excessive oral secretions are the best candidates for nasal
support.
Since there are a number of ways to manage ALS symptoms, persons
with ALS and their families should be given support and education.
The goal is to manage the disease most effectively and allow for
the highest quality of life possible, physically and emotionally.
Support
The ALS Association National Office
http://www.alsa.org/als/
27001 Agoura Road, Suite 150
Calabasas Hills, CA 91301-5104
818-880-9007
"The ALS Association (ALSA) is the only national not-for-profit
voluntary health organization dedicated solely to the fight against
amyotrophic lateral sclerosis (often called Lou Gehrig's disease).
The mission of The ALS Association is to find a cure for and improve
living with ALS.
The ALS Association seeks to promote awareness and understanding
of ALS and the work of The ALS Association by providing up-to-date
information and education materials to the ALS community…ALS
patients and families, caregivers, researchers and members in the
health care fields.
The ALSA website is another component in the delivery of information
specific to ALS. Our purpose is to provide accurate and timely information
as well as a resource directory pointing to sources of information."
ALS Northeast Ohio Chapter
2500 East 22nd Street
Suite 101
Cleveland, OH 44115
(216) 592-2572
Fax: (216) 592-2575
www.alsaohio.org
Akron ALS Support Group
Akron General Medical Center
Eva P. Craig Auditorium
400 Wabash Avenue
Akron, Ohio
1-888-922-1840
Meets: Every other month (generally odd months)
Patients, family, friends, and professionals are welcome.
The Muscular Dystrophy Association
http://www.mdausa.org/disease/als.html
There is a special section designated specifically for ALS patients
and their families on The Muscular Dystrophy Association website.
It provides easy to read information in a very easy to use format.
"For more information about medical services available through
the MDA clinic, support groups, summer camp, or other services for
people and families affected by a neuromuscular disease in MDA's
program, please call:
Health Care Service Coordinator: 330-374-0074"
ALS Support Network
Frank Avenue NW
North Canton, Ohio
Contact: Pam Cazzoli (330)-499-2572
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