Guiding Treatment in ALS

The American Academy of Neurology published guidelines for treatment of ALS in October 2009.

They are available to patients at www.aan.com,Practice Guidelines (search amyotrophic lateral sclerosis).

Specific issues addressed are:

  • Rilutek use.
  • Non-invasive ventilation (e.g. BiPAP).
  • Cough assist type devices.
  • Multidisciplinary care.
  • Excess saliva treatments.
  • Pseudobulbar affect.
  • Cognitive impairment.