Article
Clinical characterization of the proximal lower-limb ALS phenotype: a retrospective cohort study.
Amyotrophic lateral sclerosis & frontotemporal degeneration - 1 Aug 2026
Montalvo Alexandre, Gromicho Marta, Oliveira Santos Miguel, de Carvalho Mamede
Abstract excerpt
This study characterizes a rare phenotype of Amyotrophic Lateral Sclerosis (ALS) presenting with predominant proximal lower limb weakness at onset, a presentation often mimicking myopathy. We retrospectively reviewed 1980 patients, identifying 15 (0.75%) with this atypical onset. The majority were males (73%) with a median age of onset of 58.7 years. Approximately half presented with symmetric proximal lower limb...
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