PT - JOURNAL ARTICLE AU - R P Bruyn AU - J H Koelman AU - D Troost AU - J M de Jong TI - Motor neuron disease (amyotrophic lateral sclerosis) arising from longstanding primary lateral sclerosis. AID - 10.1136/jnnp.58.6.742 DP - 1995 Jun 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 742--744 VI - 58 IP - 6 4099 - http://jnnp.bmj.com/content/58/6/742.short 4100 - http://jnnp.bmj.com/content/58/6/742.full SO - J Neurol Neurosurg Psychiatry1995 Jun 01; 58 AB - Three men were initially diagnosed as having primary lateral sclerosis (PLS), but eventually developed amyotrophic lateral sclerosis (ALS) after 7.5, 9, and at least 27 years. Non-familial ALS and PLS might be different manifestations of a single disease or constitute completely distinct entities. The clinical diagnosis of PLS predicts a median survival that is four to five times longer than in ALS.