Using the case records of Mayo Clinic patients, 121 patients with a di
agnosis of benign fasciculations were identified. All had a normal neu
rological examination and normal electrophysiological studies, except
for fasciculation potentials. Interviews by telephone were conducted 2
to 32 years after diagnosis. None of the patients developed symptomat
ic motor neuron disease. Forty individuals were in health care careers
. A subset of 19 patients described acute onset of fasciculations foll
owing a viral infection. Benign fasciculations are not a prelude to pr
ogressive motor neuron disease.