21 , 22 However, we have also identified an increasing trend in FALS ascertainment, ranging from 5.2% in 1994 to 19.1% in 2016, with over 50% of newly diagnosed FALS cases in 2016 coming from second generations within known FALS families.
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Determining the incidence of familiality in ALS: A study of temporal trends in Ireland from 1994 to 2016.
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