Esclerose Lateral Amiotrófica — NeuroPsyque

AMYOTROPHIC LATERAL SCLEROSIS

Specialised assessment and multidisciplinary follow-up for Amyotrophic Lateral Sclerosis in Lisbon

WHAT IS AMYOTROPHIC LATERAL SCLEROSIS?

Avaliação neurológica da esclerose lateral amiotrófica — NeuroPsyque Lisboa

A neurodegenerative disease that affects motor neurons

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurological disease that compromises the motor neurons responsible for voluntary muscle control. As these cells degenerate, there are increasing difficulties with strength, mobility, speech, swallowing (swallowing food) and breathing. It is a complex condition that requires rigorous diagnosis, continuous monitoring and multidisciplinary intervention aimed at preserving function and quality of life.

Most common manifestations

Progressive muscle weakness
Decreased strength in the limbs, difficulty grasping objects, climbing stairs, walking or performing usual tasks.
Atrophy and fasciculations
Loss of muscle mass and small involuntary movements visible under the skin, often associated with cramps.
Speech and swallowing disorders
Progressive difficulty articulating words, chewing or swallowing.
Respiratory and functional impairment
As the disease progresses, fatigue, shortness of breath, reduced autonomy and the need for closer specialised support can arise.

HER MAIN FORMS AND CHARACTERISTICS

Beginning in the limbs

In many cases, the first signs appear in the hands, arms, legs or feet, with loss of strength, frequent stumbling or difficulty with fine movements.

Members

Bulbar start

In some people, the disease first manifests itself in speech disorders, a nasal voice, choking or difficulty swallowing.

Bulbar

Sporadic and familiar forms

Most cases are sporadic, but there is a smaller percentage that is hereditary, related to specific genetic mutations.

Genetics

Progressive and heterogeneous disease

The speed of progression and predominant symptoms can vary significantly between patients, requiring individualised monitoring and therapeutic adaptation.

Variable

Sistema nervoso e esclerose lateral amiotrófica

Although ALS mainly affects the motor system, the emotional, functional and family impact of the disease makes a truly integrated approach between specialities indispensable.

TECHNOLOGY AND THE THERAPEUTIC ENVIRONMENT

Tecnologia clínica e acompanhamento especializado

Tratamentos complementares em neurologia

Mapeamento cerebral e avaliação complementar

IMPORTANCE OF SPECIALISED CONSULTATION

Amyotrophic Lateral Sclerosis requires specialised neurological assessment and close follow-up from the earliest stages. Consultation is essential to characterise the symptoms, confirm the diagnosis, exclude other causes of motor neurone disease and structure a follow-up plan adapted to the clinical progression and specific needs of each person.

💡 In ALS, as in all neurodegenerative diseases, an early approach is essential to improve symptomatic control, anticipate future needs and preserve quality of life for longer.

At Clínica NeuroPsyque, follow-up is based on an integrated view of the disease, combining neurological assessment, functional support, respiratory and nutritional monitoring, symptom management and emotional support for the patient and their family. The aim is to offer rigorous, humanised care focused on dignity and well-being at all stages of the disease.

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Frequently Asked Questions

FAQ's about Amyotrophic Lateral Sclerosis

What should I expect at the first assessment appointment?

The first consultation includes a detailed analysis of the motor symptoms, their progression, the neurological examination and the tests already carried out. The aim is to clinically frame the case, rule out alternative diagnoses and define the next steps in terms of study and follow-up.

What are the most common first signs of ALS?

Initial signs can include loss of strength in one arm or leg, difficulty manipulating objects, stumbling, cramps, fasciculations or changes in speech. In some cases, the first symptoms appear mainly when swallowing or articulating language.

How is the diagnosis made?

Diagnosis is based on clinical history, neurological examination and complementary tests, often including electromyography and other studies designed to exclude diseases that may have symptoms in common with ALS. It is a demanding diagnosis that must be made carefully.

Does ALS only affect the muscles?

ALS mainly affects the motor system, impairing the control of voluntary muscles. However, the impact of the disease goes far beyond muscle strength, interfering with mobility, communication, eating, breathing, autonomy and emotional balance.

Is there a treatment for ALS?

There is currently no definitive cure, but there are therapeutic and support strategies that help control symptoms, plan care, preserve functionality for longer and improve quality of life. Multidisciplinary support is essential.

Why is the approach between different specialities so important?

ALS affects several dimensions of the patient's life. Neurology, specialised physiotherapy, speech therapy, nutrition, respiratory monitoring and psychological support can be decisive in responding to the needs that arise at each stage of the disease.

Should the family also be involved in monitoring?

Yes. ALS has a strong emotional impact, and brings very significant practical challenges in the family context. Support for the family and carers is an important part of clinical follow-up, both for planning and emotional support.

Do I need a doctor's referral to book an appointment?

No, it's not necessary. You can book your appointment directly at NeuroPsyque. If you have health insurance, we only recommend that you check the conditions of your policy regarding reimbursement. Contact us to explain your situation.