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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 Woodruff
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…


Neuro Notes

Lipid storage myopathy in 50-year-old patient

Clinical History:The 50-year-old patient was admitted for shortness of breath and acute muscle weakness following a viral illness. Laboratory studies…

Neuro Notes

Cap myopathy

Clinical History:This 25-year-old patient presented with complaints of lower extremity muscle weakness. Their past medical history was significant for chronic…

Neuro Notes

Lymphocytes

Clinical History:Patient presented with progressive proximal weakness since August and severe x2 weeks.Past medical history: hyperthyroidism, hyperlipidemia, herpes simplex, hypertension.Medications:…


NADH
Neuro Notes

Pompe disease in teenage male

Clinical History:Teenage male with normal developmental milestones but difficulty playing sports or running.What is the diagnosis?Here are the diagnostic images…

Teaching Points

Oxalate-induced nephropathy from ingestion of oxalic acid used miticide in beekeeping

Polarizable calcium oxalate microcrystals in a 16-year-old who ingested a small volume (<10 mL) of oxalic acid solution + grain…

mycn-amplified spinal ependymoma wtmk
Neuro Notes

MYCN-amplified spinal ependymoma

Clinical History:This 40-year-old patient has increasing back pain and lower extremity paraparesis. MRI of the cervical and lumbar spine with…


Neuro Notes

Calciphylaxis

Clinical History:This 50-year old patient presented complaints of upper and lower extremity proximal and distal muscle weakness. They also related…

Life at Arkana

Lab Week 2025: Mystery Under the Microscope

This year’s ASCP Medical Laboratory Professionals Week brought a thrilling twist to our celebration with “Mystery Under the Microscope,” a…

By Lex Woodruff
M25-00400_FFPE_Masson_Trichrome
Neuro Notes

Split muscle fiber

Clinical HistoryThis 45-year-old patient underwent muscle biopsy to evaluate for muscle weakness. The biopsy showed denervation type changes (neurogenic atrophy).…


Patient Resources

APOL1-Mediated Kidney Disease

What is APOL1-mediated kidney disease?APOL1-mediated kidney disease is a form of kidney diseases associated with changes that are known as…

frozen handE_3
Neuro Notes

Partially necrotic and regenerating myofibers

Clinical HistoryThe 21-year-old patient presented with skin rash and proximal upper and lower extremity weakness of several weeks duration. Laboratory…

H&E-5
Neuro Notes

Teenager with difficulty playing sports

Clinical HistoryTeenage male with normal developmental milestones but difficulty playing sports or running.What’s the diagnosis?Here are the diagnostic images for…