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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…

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…

Neuro Notes

Lower extremity pain and swelling

Clinical History:The patient is a 47-year-old man who presents with lower extremity swelling and pain x 5 days.Past medical history:…

Neuro Notes

76-year-old with weakness

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


Neuro Notes

36-year-old man with longstanding weakness

Clinical History: Chief complaint: Weakness first presenting in teens. Family history: Brother with myopathy. Medication: Denies statins. Physical exam: Moderate…

Neuro Notes

71-year-old man with proximal weakness

Clinical History: Past medical history: advanced esophageal adenocarcinoma status post radiation and chemo/immunotherapy with immune mediated hepatitis, and moderate alcohol…

Life at Arkana

Dr. Lim’s Fellowship Graduation

On June 30th, we proudly celebrated Dr. Lim’s successful completion of Arkana’s renal pathology fellowship program, marking the end of…

By Lex Martin

Neuro Notes

Neuromuscular junction in 60-year-old patient

Clinical History:Muscle biopsy was performed on this 60-year-old patient to evaluate for subjective complaints of muscle weakness. Several small intramuscular…

Life at Arkana

Arkana at the Park

Our recent Arkana at the Park event at Burns Park was a refreshing break filled with sunshine, good food, and…

By Lex Martin
Neuro Notes

sIBM FFPE Thicks

Clinical History:This 55-year-old patient presented with complaints of a several year history of slowly progressive asymmetric upper and lower extremity…