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Rana SS et al. - The diagnosis of ALS is based on abnormalities detected on neurological examination and confirmation of motor denervation on electromyography, both of which are easy to demonstrate when the disease is advanced. In early disease, however, the diagnosis can be challenging. The study suggests that, in addition to the lack of neurological deficits and the absence of abnormalities on electromyography, a history of psychiatric disorders and psychosomatic illnesses in persons experiencing increased burden of life stressors could be viewed as evidence supporting the diagnosis of BF.

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