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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

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…

Neuro Notes

Extrafusal and Intrafusal Fibers

Clinical History This 1-year-old patient underwent muscle biopsy to evaluate for hypotonia. What are the muscle fibers within the small…

By Jon Wilson, MDLex Martin

Neuro Notes

Signet Ring Carcinoma

Clinical History This 50-year-old patient presented with muscle weakness and stiffness. They had recently been identified to have diffuse thickening…

By Jon Wilson, MDLex Martin
Arterioles, venules and lymphatics
Neuro Notes

Arterioles, Venules, and Lymphatics

Clinical HistoryThis 50-year-old patient presented with right thigh pain. Their muscle biopsy showed mild denervation type changes. Several small portions…

By Jon Wilson, MDLex Martin
Myopathy in Acute Lymphoma
Neuro Notes

Myopathy in Acute Lymphoma

Clinical HistoryThis 77-year-old patient presented with atrophy of the cranial and extremity muscles, dysphagia, and multiple falls. Past medical history…

By Joshua Sonnen, MDLex Martin