Amyotrophic lateral sclerosis (ALS) is the most common form of motor Exploring east African climate change risk perceptions to inform effective climate services neuron disease.This pathology is characterized by the involvement of central and peripheral motor neurons in the pathological process.One f the specific symptoms of ALS is fasciculations - involuntary Fetal nuchal translucency scan in Nigeria muscle contractions that may occasionally precede the development of muscle weakness and atrophies.This paper summarizes the accumulated practical experience in using muscle ultrasound study in the diagnosis of fasciculations and their prevalence as an early sign of anterior corneal lesion in ALS.