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Neuro Notes

Fasciitis With or Without Eosinophilia

Clinical History:This 40-year-old patient presented with progressive skin thickening of several months duration involving their arms and legs. Laboratory studies…

Neuro Notes

Perineuritis

Clinical History:This 60-year-old patient presented with clinical and electrophysiologic features of mononeuritis multiplex. Their past medical history was significant for…

Neuro Notes

Graft-Versus-Host Disease Myopathy

Clinical History:The patient is a 62-year-old woman with myalgia and symmetric proximal weakness.PMH: Myelodysplastic syndrome (MDS) Complicated by acute myelogenous…


Neuro Notes

Iron Deposition – Vasculitic Neuropathy

Clinical History: CC: The patient is a 76-year-old woman progressive lower extremity then upper extremity anesthesia and dysesthesia, right then…

Neuro Notes

Myopathic Changes: Internalized Nuclei

Clinical History:This 60-year-old patient presented with bilateral proximal lower extremity muscle weakness of four years duration with some foot numbness.…

regenerated cluster electron microscopy image
Neuro Notes

Regenerated Cluster

Clinical History:This 25-year-old patient presented with a one-year history of progressive bilateral upper and lower extremity muscle weakness and painful…


electron microscopy image of axonopathy
Neuro Notes

Axonopathy

Clinical History: The patient is a 72-year-old man. Clinical diagnosis of neuropathy. What cannot be seen on this electron micrograph…

Neuro Notes

Skeletal Muscle: Athletic Conditioning

Clinical History:This 17-year-old elite endurance athlete underwent muscle biopsy to evaluate for recent inability to perform at the level they…

Neuro Notes

Titin-Related Congenital Myopathy

Clinical History:The patient is a teenage male with past medical history end-stage renal dialysis and heart failure who presented with…


Neuro Notes

Toxoplasmosis: Encysted Spy of the CNS

Clinical History:A male patient in his 20s presents with recurrent fevers for 2 months progressing to 10 days of rapid…

Congo Red of frozen muscle with Texas Red filter showing vacuolar myopathy
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…

Active vasculitis with fibrinoid necrosis
Neuro Notes

Muscle Pain

Clinical HistoryThe patient is a 54-year-old man with lower extremity pain and edema, weakness and fever following a respiratory infection.…


Granulomatous myopathy
Neuro Notes

Granulomatous Myositis

Clinical HistoryThe patient is a 59-year-old woman with progressive weakness x 3 years. Past medical history includes COPD improved with…

Longstanding weakness
Neuro Notes

Longstanding Weakness in an Adult

Clinical History54-year-old woman. Family history negative for neuromuscular disease Longstanding (L>R) upper & lower extremity weakness Periodic falls & difficulty…

Inclusion body myopathy , IBM,
Neuro Notes

11-year-old boy with falls

Clinical History 11-year-old boy Progressive weakness, Gower sign, falls 3 to 4 times a week, and leg pain PMH: ADHD,…