Motor Neurone Disease (MND), incurable condition in which the nerves concerned with muscular contraction degenerate progressively. This may affect motor neurones in the brain and in the spinal cord. When the main effect is on the spinal cord (the commonest variety of the disease), the condition is also known as amyotrophic lateral sclerosis (ALS). The result of the nerve destruction is progressive paralysis and atrophy (wastage of muscles); this usually begins in one group of muscles and then gradually spreads to affect the whole body.