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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.
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.