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Amyotrophic lateral sclerosis (ALS) is a progressive, ultimately fatal neurodegenerative disease. Traditionally, familial forms of ALS are distinguished from sporadic ALS. This distinction has become increasingly blurred as genetic factors (notably a hexanucleotide repeat expansion in the gene encoding C9orf72) have been implicated in apparently sporadic cases of ALS. A lot of the confusion may boil down to how carefully a family history is solicited and which diseases in family members are taken to imply a familial disease. For example, the increasingly recognized association between ALS and frontotemporal dementia (FTD) raises the question of whether FTD in a family member of someone with ALS should count as a family history. Now, investi…