Management of patients with amyotrophic lateral sclerosis

  • Andrea Calvo Centro SLA, Dipartimento di Neuroscienze, Università degli Studi di Torino e ASO San Giovanni Battista di Torino
  • Paolo Ghiglione Centro SLA, Dipartimento di Neuroscienze, Università degli Studi di Torino e ASO San Giovanni Battista di Torino
  • Adriano Chiò Centro SLA, Dipartimento di Neuroscienze, Università degli Studi di Torino e ASO San Giovanni Battista di Torino
Keywords: Amyotrophic lateral sclerosis (ALS), Management, Multidisciplinary approach

Abstract

Amyotrophic lateral sclerosis (ALS) is a progressive, fatal, neurodegenerative disease caused by the degeneration of motor neurons. We report a case of a 45-years-old patient with ALS to underline difficulties and challenges in ALS management. Even though ALS remains fatal, several advances have been made in improving the consequences of this disease: symptomatic treatments have an important role in controlling sialorrhea, bronchial secretions, pseudobulbar emotional lability, cramps, spasticity, depression and anxiety, insomnia and pain. An adequate management of ALS should be multidisciplinar, involving not only the neurologist, but also family physicians and many other specialists, such as pulmonologist, rehabilitation medicine physician, speech therapist, dietitian and psychologist. The multidisciplinary approach should be aimed at relieving specific problems associated with the disability of single patients and improving their quality of life.
Published
2008-09-15
Section
Case report
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