According to Kincaid (1997), the diagnosis is made when there is no clinical finding of neurogenic disease; he first reassures patients that no "ominous disease seems to be present", and says, "I suggest that patients like this be followed for a year or longer with clinical and electromyographic exams at about 6-month intervals before one becomes secure in the diagnosis that the fasciculations are truly benign." Other publications recommend followups for four or five years before ruling the condition benign, although the percentage of individuals who progress to a more serious condition is very low.