Amyotrophic lateral sclerosis with damage to the upper motor neuron (clinical case)

A clinical case of a patient with lower spastic paraparesis, dysarthria elements speech disorders, muscle hypotrophy, and inability to independent moving is presented. Differential diagnosis was performed between two diseases: amyotrophic lateral sclerosis and Strumpel's spastic familial paraplegia. The diagnosis was established after analyzing a set of data consisting of complaints, anamnesis, results of neurological examination, laboratory tests, instrumental research methods, including conclusions of needle electromyography and ultrasound examination of affected nerves and muscles despite the uncharacteristic symptoms of manifestation from spastic lower paraparesis: amyotrophic lateral sclerosis.