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Updated: May 25, 2026

Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
Published on: March 4, 2014
Conjugal amyotrophic lateral sclerosis
John D Dewitt1, Julia Kwon, Rebecca Burton
1Department of Internal Medicine, Oklahoma State University Medical Center, Tulsa, Oklahoma (Kwon, Burton, Stroup). Dr. Dewitt is a neurologist in private practice in Tulsa, Oklahoma.
Abstract:
Amyotrophic lateral sclerosis (ALS) is a disease characterized by progressive degeneration of motor neurons in the motor cortex, brainstem, and spinal cord. The incidence of sporadic ALS is 1.5 to 2.7 in 100,000, and the prevalence is 5.2 to 6.0 in 100,000. Conjugal ALS is even rarer than sporadic ALS. We report a case of conjugal ALS encountered in our outpatient neurology clinic.
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