A case in which the manifestation of fasciculations in the tongue led to a diagnosis of amyotrophic lateral sclerosis (ALS)-associated disease

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  • ISHIHAMA Takanori
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital
  • ABE Atsushi
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital
  • MATSUURA Arisa
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital
  • HASEGAWA Hiroaki
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital
  • HAYASHI Hiroki
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital
  • FURUTA Hiroshi
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital

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  • 舌の線維束性収縮を契機に診断された筋萎縮性側索硬化症の1例
  • シタ ノ センイ ソクセイ シュウシュク オ ケイキ ニ シンダン サレタ キン イシュクセイ ソクサク コウカショウ ノ 1レイ

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<p>We report a case in which the manifestation of fasciculations in the tongue led to a diagnosis of amyotrophic lateral sclerosis (ALS)-associated disease. An 80-year-old man visited our department with chief complaints of tongue discomfort and swallowing difficulty. The patient had been aware of dysarthria for 2 years and had visited several physicians without receiving an accurate diagnosis. Intraoral examination in our department showed fasciculations in the tongue; therefore, ALS was suspected. He was referred to the Department of Neurology where a definite diagnosis of ALS was made. Our experience suggests that dentists can contribute to the diagnosis of ALS, as well as the assessment of dysphagia and management of oral health.</p>

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