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Neuro Notes

Vasculitis: Using Fluorescence Microscopy to Visualize Elastic Lamina

Clinical History:This 65-year-old patient presented with a two-month history of progressive proximal upper and lower extremity muscle weakness, and photosensitive…

Podcast

Glom Goals: A Blueprint for Better Renal Biopsies

In this episode of Glom Goals, we spoke to Dr. Salil Parikh from the Methodist Le Bonheur Healthcare group in…

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By Dr. Shree Sharma
Podcast

Glom Goals: Why Adequacy Matters

Renal pathologists Dr. Shree Sharma and Dr. Tiff Caza sit down with nephrologists Dr. Juan Carlos Velez, Dr. Bill Whittier,…

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By Dr. Shree Sharma

collagen pockets in nerve biopsy case image
Neuro Notes

Collagen Pockets in Nerve Biopsy

Clinical History:This 40-year-old patient underwent sural nerve biopsy to evaluate for a painful mixed large fiber and small fiber axonal…

denervated neuromuscular junctions 1 wtmk
Neuro Notes

Denervated Neuromuscular Junctions

Clinical History:Muscle biopsy from this 40-year-old patient showed morphologic and enzyme histochemical features of denervation.What abnormality is seen in the…

gallyas stain alzheimer's wtmk
Neuro Notes

Gallyas Stain: Plaques, Tangles, and Threads in Alzheimer’s Disease

Clinical History:Neuropathologic examination (brain autopsy) on this 65-year-old patient with a history of slowly progressive dementia demonstrated gross and microscopic…


Neuro Notes

Myopathic changes on Alkaline phosphatase

Clinical History:This 40-year-old patient presented with complaints of muscle weakness and myalgias of approximately 3-months duration. Laboratory studies showed elevated…

Neuro Notes

Ring Fibers

Which genetic test is required to establish the diagnosis in this 59-year-old with distal muscle weakness, mild myotonia, and persistently…

Neuro Notes

Vacuolar myopathy in 92-year-old male

Clinical History:The patient is a 92-year-old-male and presented progressive muscle weakness that began in the left upper extremity and spread…


Neuro Notes

76-year-old with numbness

Clinical History:The patient has numerous complaints including weakness, myalgia, arthralgia, back pain radiating down bilateral legs, cramps and twitching, imbalance,…

von kossa 2 perineurial micromineralization
Neuro Notes

Perineurial microcalcification

Clinical History:This 55-year-old patient presented with symmetrical numbness, tingling and burning sensation involving the bottom of their feet which slowly…

Podcast

Glom Goals: Why Adequacy Matters

Renal pathologists Dr. Shree Sharma and Dr. Tiff Caza sit down with nephrologists Dr. Juan Carlos Velez, Dr. Bill Whittier,…

Shree G. Sharma, MD renal pathologist at arkana laboratories
By Shree Sharma, MD

Neuro Notes

Hybrid myofibers

Clinical History: This previously healthy 35-year-old patient presented with proximal upper and lower extremity weakness and myalgias. Laboratory studies showed…

Neuro Notes

End-stage nerve

Clinical History:This 45-year-old patient underwent sural nerve biopsy to evaluate for potential etiologies of their progressive sensorimotor predominantly axonal polyneuropathy.…

Neuro Notes

Freezing artifact formalin-fixed tissue

Clinical History: This 50-year-old patient presented with generalized muscle weakness and elevated CPK levels. Muscle biopsy was performed to evaluate…