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Satellite Cells, Neuro Notes, neuropathology, arkana laboratories
Neuro Notes

Satellite Cells

An adult patient with proximal muscle weakness presents with CK 4400 and skeletal muscle biopsy of the thigh shows frequent…

By Kelly Mrachek, MD
Nemaline Rods, neuro notes, neuropathology, Dr. Mrachek
Neuro Notes

Nemaline Rods

What are these dark (osmophilic) structures seen in this electron micrograph of skeletal muscle?   These osmophilic structures are Nemaline…

By Kelly Mrachek, MD
sarcomere, Neuro notes, renal pathology, arkana labs, neuropathology
Neuro Notes

Sarcomere Bundles of the A Zone

This weeks interesting image shows the examination of skeletal muscle in cross-section at the level of the A zone by…

By Kelly Mrachek, MD

Tangential Sections Through Three Triads
Neuro Notes

Tangential Sections Through Three Triads

Can you identify the structure(s) identified by arrows in this muscle biopsy?   Tangential sections through three triads (pale T-tubules…

By Kelly Mrachek, MD
Contraction Band Artifact , Neuro Notes, neuropathology
Neuro Notes

Contraction Band Artifact

Contraction band artifact (Hematoxylin and Eosin stained section from formalin fixed paraffin embedded tissue 400x magnification)   This skeletal muscle…

By Kelly Mrachek, MD
myopathy, Sarcoid Myopathy and Vasculopathy, Neuro Notes, neuropathology, arkana laboratories
Neuro Notes

Sarcoid Myopathy and Vasculopathy

What is your diagnosis and how would you characterize the designated lesions in Figures 1 & 2? (Black Arrows) Hematoxylin…

By Kelly Mrachek, MD

grouped atrophy, neuro notes, neuropathology
Neuro Notes

Grouped Atrophy

This skeletal muscle biopsy shows grouped atrophy, which is a finding characteristic of denervation. This morphologic alteration indicates the presence…

By Kelly Mrachek, MD
Neuromuscular Junction, NMJ, Neuro Pathology, myoneural junction, motor end-plate
Neuro Notes

The Neuromuscular Junction

What is the dark staining structure? (Hint: note the small nerve twig associated with the structure). The neuromuscular junction (NMJ;…

By Kelly Mrachek, MD
nerve twigs, Neuro notes, molecular pathology, neuropathology, renal pathology, arkana laboratories
Neuro Notes

Nerve Twigs Within Endomysial Connective Tissue

This week’s Neuro Notes shows ultrastructural examination of a muscle biopsy can sometimes yield additional useful information, such as evaluation…

By Kelly Mrachek, MD

Macrophagic Myofasciitis (MMF), neuro notes, arkana laboratories, neuropathology
Neuro Notes

Macrophagic Myofasciitis (MMF)

This previously healthy pediatric patient presented with peculiar facial muscle hypertrophy, and genetic testing revealed one pathologic variant and two…

By Kelly Mrachek, MD
congo red stain, lipofuscin, neuro notes, arkana laboratories
Neuro Notes

Other Uses For the Congo Red Stain

Did you know there could be other uses for Congo Red Stain? Additional unintended useful information can be obtained from…

By Kelly Mrachek, MD
Golgi Tendon Organ
Neuro Notes

Golgi Tendon Organ

In reviewing this skeletal muscle biopsy, what is this structure and what is its function? (Hematoxylin and Eosin stained FFPE…

By Kelly Mrachek, MD

Exocytosis, Neuro Notes, arkana laboratories, muscle biopsy
Neuro Notes

Exocytosis in a Skeletal Muscle Biopsy

This electron micrograph of two adjacent skeletal muscle cells demonstrates simultaneous exocytosis. Exocytosis in this case shows extravasation of lysosomes…

By Kelly Mrachek, MD
sarcoidosis, neuro notes, arkana laboratories
Neuro Notes

Sarcoidosis in a Skeletal Muscle Biopsy

These images show skeletal muscle from the thigh of an African-American patient with muscle weakness and elevated CPK levels. Occasional…

By Kelly Mrachek, MD
Lipid Storage Myopathy, Arkana Laboratories, neuro notes, neuropathology, molecular pathology
Neuro Notes

Lipid Storage Myopathy

This adult patient presented with progressive muscle weakness, elevated CK, and was admitted for rhabdomyolysis. Skeletal muscle biopsy was performed…

By Kelly Mrachek, MD