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Necrotic myofibers, Rhabdomyolysis
Neuro Notes

Rhabdomyolysis

Clinical history This 20-year-old patient was found in a prolonged seizure state (status epilepticus of unknown duration). CPK levels at…

Neuro Notes

Myofiber Injury

Clinical History The 50-year-old patient presented with proximal upper and lower extremity muscle weakness of several months duration. They also…

Neuro Notes

Patient with Ptosis and Weakness

Clinical history This 60-year-old patient presented with chronic ptosis and mild muscle weakness. CPK levels were within normal limits.  …


Neuro Notes

Arterioles, Venules, and Lymphatics

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

Ependymoma
Neuro Notes

Spinal Cord Lesion

Clinical History This 45-year-old patient presented with a 2-month history of right upper extremity pain. MRI demonstrated the presence of…

astrocytic neoplasm
Neuro Notes

Squash Prep Astrocytic Neoplasm

Clinical History: This 65-year-old patient presented with new onset seizures. Their past medical history was significant for atrial fibrillation. MRI…


Neuro Notes

Patient with “Mechanic’s Hands”

Clinical History This 40-year-old patient presented with progressive proximal upper and lower extremity muscle weakness (difficulty ascending stairs and lifting…

Neuro Notes

Nerve Twig

Clinical history This 60-year-old patient presented with proximalmuscle weakness and pain of one-months duration. Laboratory studies showed elevated CPK (~12000).…

Neuro Notes

Mild Nonspecific Changes with Significant Genetic Finding

Clinical History This 30-year-old patient presented with complaints of severe exertional muscle stiffness and pain, and similar symptoms upon exposure…


Focal myositis
Neuro Notes

Unilateral Calf Enlargement

Clinical History 61-year-old man who presented with several month history of right calf enlargement. Past medical history: TIA Relevant medications:…

Neuro Notes

27 Weeks Gestation

Clinical History This patient is a newborn male born at 27 wks, 2 days gestation. 25y.o. mother is G1P1 w/…

Neuro Notes

Weakness and Atrophy

Clinical History This 75-year-old man with amyotrophic lateral sclerosis (ALS) for 5 years has a past medical history of gout…


Neuro Notes

Skull Base Cyst

Clinical History This 35-year-old woman presented with dysphagia and dysphonia. MRI showed a CSF filled, thin-walled cyst compressing medulla. Question…

MPNST
Neuro Notes

Rapidly Enlarging Mass in NF1 Patient

Clinical History: This 25-year-old patient with a history of Neurofibromatosis type 1(NF1) was found to have a relatively rapidly enlarging…

Neuro Notes

T-tubular Network

Electron microscopy on a muscle biopsy with myopathic changes showed an incidental waffle-like structure within the sarcoplasm (see arrow). This…