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(146 Results)
Ischemic myopathy
Neuro Notes

Patient with Painful Leg

Clinical History The 60-year-old patient was admitted for complaints of acute left lower extremity pain and weakness, and was found…

Lymphocytic hypophysitis
Neuro Notes

Pituitary Lesion

Clinical History This 35-year-old patient presented with headaches. MRI showed a sellar mass (diffuse enlargement of the pituitary gland) with…

Neuro Notes

Cauda equina mass

Clinical History This 40-year old patient with lumbar back pain. MRI demonstrated an intradural extramedullary mass at the level of…


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,…

Dermatomyositis with treatment effect
Neuro Notes

Bulbar Weakness and Rash

Clinical History 68-year-old woman with dysphagia, dysarthria, facial muscle weakness and rash Past medical history breast cancer Medications hydroxychloroquine…

Degenerative axon/axonal-spheroid
Neuro Notes

Painful Ankle Mass

Clinical History 49-year-old woman Right-sided sural nerve mass Distal pain and numbness of the ankle What is the structure at…


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.  …


Arterioles, venules and lymphatics
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…

Figure 1: Toluidine blue stained thick section 600x original magnification
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…