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Surgery and amyotrophic lateral sclerosis: avoid the surgeon
  1. Andrew Eisen
  1. Correspondence to Dr Andrew Eisen, Division of Neurology, University of British Columbia, 2862 Highbury Street, Vancouver, BC, Canada, V6R 3T6; Eisen{at}mail.ubc.ca

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Surgery in ALS—don't rush in, always give it a second thought

Pinto et al1 document that amyotrophic lateral sclerosis (ALS) patients who have surgery <3 months after clinical onset of ALS are at risk of a more rapid progression of their disease. There is also a correlation between the site of ALS onset and surgical anatomy. Functional decline was greater when surgery was performed after ALS onset, possibly because of uncertain ALS diagnosis in this group.

Although …

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