Stephen Hawking is severely disabled by motor neuron disease also known as amyotrophic lateral sclerosis (or ALS). Hawking's illness is markedly different from typical ALS in the fact that his form of ALS would make for the most protracted case ever documented. A survival for more than 10 years after diagnosis is uncommon for ALS; the longest documented durations are 32 and 39 years and these cases were termed benign because of the lack of the typical progressive course.
When he was young, he enjoyed riding horses and playing with other children. At Oxford, he coxed a rowing team, which, he stated, helped relieve his immense boredom at the university. Symptoms of the disorder first appeared while he was enrolled at Cambridge; he lost his balance and fell down a flight of stairs, hitting his head. Worried that he would lose his genius, he took the Mensa test to verify that his intellectual abilities were intact. The diagnosis of motor neuron disease came when Hawking was 21, shortly before his first marriage, and doctors said he would not survive more than two or three years. Hawking gradually lost the use of his arms, legs, and voice, and as of 2009 has been almost completely paralysed.
During a visit to the research centre CERN in Geneva in 1985, Hawking contracted pneumonia, which in his condition was life-threatening as it further restricted his already limited respiratory capacity. He had an emergency tracheotomy, and as a result lost what remained of his ability to speak. He has since used an electronic voice synthesizer to communicate.
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