Length-Related Axonal Loss in Neuropathy
Figure 72-1 The chest wall of the patient described had normal pinprick sensibility near the spine, but posterior to the posterior axillary line, she had blunted sensation to pinprick (region…
NEUROLOGY
A Weak, and Numb Patient with Tremor—Antimyelin-Associated Glycoprotein Polyneuropathy
Figure 46-1 Higher power view of sural nerve biopsy, transverse semithin section, stained with toluidine blue demonstrating loss of myelinated axons, thinly myelinated axons, a circumferentially oriented Schwann cell profile…
How Far Have We Come in Prevention and Treatment of Peripheral Neuropathy?
CHAPTER 71 How Far Have We Come in Prevention and Treatment of Peripheral Neuropathy? Peter J. Dyck, MD INTRODUCTION At a recent conference assessing “Advances in understanding and treating neuropathy”…
Inflammatory Multifocal Encephalomyelopolyradiculoneuropathy Mimicking a Granulomatous or Lymphomatous Process
Multiple cerebrospinal fluid (CSF) analyses showed consistently high protein levels (maximum 1250 mg/dL) and cell counts (maximum 250 white blood cells, 89% lymphocytes) but no malignant cells (Table 5-2). Table…
Acute Paraplegia—Saddle Embolism of Abdominal Aorta
Figure 17-1 The serial nerve conduction studies of the left peroneal motor nerve (A) and the right tibial motor nerve (B) in acute stage: upper trace, the initial study which…
A Case of Guillain-Barré Syndrome Associated with Anti-GD1b Immunoglobulin G Antibodies
Autoantibodies to gangliosides By an enzyme-linked immunosorbent assay (ELISA) as described elsewhere,1 IgM and IgG antibodies against ganglioside GM1, GM1b, GD1a, GalNAc-GD1a, GD1b, GT1a, or GQ1b were investigated in serum…
Postsurgical Inflammatory Lumbosacral Plexopathy
Figure 42-1 Histopathology of sural nerve: severe axonal degeneration. A, Teased fiber preparation demonstrates fulminant axonal degeneration. B, Longitudinal paraffin slides reacted to CD-68 show colocalization of macrophages with degenerating…
Peroneal Mononeuropathy from Sarcoidosis
Figure 41-1 Intraoperative presentation of left poplitea and calf (asterisk). A large granuloma mass (arrowheads) expands the popliteal subfascial area and leads to compression of the peroneal nerve (arrow). After…
Neurologic Improvement After Cervical Decompression in Wild Type Transthyretin Amyloidosis
Figure 31-1 Sural nerve biopsy demonstrates amyloid deposition in epineurial blood vessels (Congo red). Figure 31-2 Gastrocnemius muscle biopsy demonstrates amyloid deposition in blood vessels (anti-transthyretin antibodies). Strength and sensation…
42-Year-Old Man with Biphasic Synovial Sarcoma
Figure 16-1 A lesion of the tibial nerve before its bifurcation into medial and lateral plantar divisions is seen on the noncontrast T1-weighted MRI image (arrow, right panel). The axial…
