Is It Time to Take the Heat Out of the Problem?

Aug 15, 2017 by in NEUROLOGY Comments Off on Is It Time to Take the Heat Out of the Problem?

Fig. 47.1 (a) Muscle MRI showed no abnormalities. (b) Cytochrome c oxidase (COX) staining showed a preserved two-fibre pattern. (c) Electron microscopy showed several fibres with one or more small…

read more

..and the Other Common Cause

Aug 15, 2017 by in NEUROLOGY Comments Off on ..and the Other Common Cause

Fig. 39.1 Haematoxylin-Eosin stained section (a) shows marked variation in fibre size with disorganized internal cytoarchitecture in a proportion of the large fibres. NADH histochemical preparation (b) highlights the whorled…

read more

A Treatable Systemic Muscle Disease

Aug 15, 2017 by in NEUROLOGY Comments Off on A Treatable Systemic Muscle Disease

Fig. 40.1 There is an endomysial inflammatory infiltrate with infiltration of non-necrotic fibres by lymphocytes (a, b, arrows). There is variation in fibre size and fibre necrosis (b, *). The…

read more

Cramps, Weakness and Fasciculations

Aug 15, 2017 by in NEUROLOGY Comments Off on Cramps, Weakness and Fasciculations

Fig. 15.1 (a, b) Appearance of the right hand 10 years following onset of weakness. There is relative preservation of muscle bulk. Investigations Blood tests were normal, including creatine kinase….

read more

The Less Aggressive and Less Common Cousin

Aug 15, 2017 by in NEUROLOGY Comments Off on The Less Aggressive and Less Common Cousin

© Springer-Verlag London Ltd. 2017Hadi Manji, Chris Turner and Matthew R. B. Evans (eds.)Neuromuscular Disease 10.1007/978-1-4471-2389-7_37 37. The Less Aggressive and Less Common Cousin Dipa L. Raja Rayan1   and Chris Turner1   (1) MRC Centre for Neuromuscular Diseases, National Hospital for…

read more

Unsteadiness – Neither Cerebellar Nor Vestibular

Aug 15, 2017 by in NEUROLOGY Comments Off on Unsteadiness – Neither Cerebellar Nor Vestibular

Anti-GM1 IgG Antibody Negative Titre 1 in 1000 Anti-GD1b IgM Antibody Positive Titre 1 in 20,000 Cerebrospinal Fluid <1 WBC/mm3 Total Protein 0.66 g/L (0.13–0.4) Glucose 4.0 mmol/L (2.2–4.2) (matched…

read more

A Multisystem Muscle Disorder Needs Monitoring

Aug 15, 2017 by in NEUROLOGY Comments Off on A Multisystem Muscle Disorder Needs Monitoring

Fig. 36.1 Tongue myotonia following percussion Investigations Her CK was normal. EMG demonstrated frequent myotonic potentials with mild myopathic changes. An overnight sleep study showed significant desaturations throughout the night,…

read more

Rare as Rocking Horse Droppings

Aug 15, 2017 by in NEUROLOGY Comments Off on Rare as Rocking Horse Droppings

  Amplitude (μV) Onset latency (ms) Peak latency (ms) Conduction velocity m/s Right Median (F3-wrist) 8.0 2.5 3.2 50 Right Ulnar (F5-wrist) 7.0 2.1 2.1 52.5 Right Radial 1.3 –…

read more
Get Clinical Tree app for offline access