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PostPosted: May 9th, 2013, 2:55 am
by Brummer
Another question to the tongue twitchers. If you make your tongue long and pull it out of your mouth. Does it depend to go to one side? I read that this was a sign of ALS because the tongue leans to the stronger side. In my case it is turning to the right and my hotspots are on the left.

Re: Tongue

PostPosted: May 9th, 2013, 3:15 am
by TwitchyDoc
Brummer, when the tongue is weak enough (which takes a while), then it may deviate to the weaker side, if the weakness is unilateral and this is because the other side is stronger and just pushes back the weaker one. While resting, it leans to the stronger side.
Also, when a person with advanced bulbar ALS sticks his tongue out, it would deviate to the atrophied side with fasciculations. Bilateral weakness would mean the tongues can go straight but not that far from your mouth and you would noticed issues by now.

Also please note that certain deviation of the tip of the tongue is normal, it does not have to be perfectly symmetrical. If you can easily move it, there is no need to worry.