“…[6] The complications of ALS are flaccid paresis, reduction and later absence of reflexes, spastic paresis, reduction of nerve conduction velocity, which will result in respiratory and motor insufficiency, progressive bulbar paralysis, speech problems, sialorrhea, venous thrombosis, cramps, depression, anxiety, paraplegia, hypercapnia, alveolar hypoventilation among others. [20] Respiratory failure and its complications are responsible for about 85% of cases of ALS deaths. [5]…”