PNS Flashcards
Morphology:
Albuminocytologic dissociation in CSF
GBS
Immune-mediated demyelinating neuropathy asso with Campylobacter jejuni
- Ascending motor paralysis
Guillain-Barre Syndrome
Increased CSF protein in the absence of increased WBCs
Albuminocytologic Dissociation
Aka Charcot-Marie-Tooth Disease
Hereditary Motor and Sensory Neuropathy
Distal symmetric neuropathy
Axonal neuropathy
Segmental demyelination
Diabetic neuropathy
aka Infantile Motor Neuron Disease
Spinal Muscular Atrophy
Destruction of anterior horn cells
Mutations affecting SMN1
Panfascicular atrophy
Spinal muscular Atrophy
Floppy Baby Syndrome
Spinal Muscular Atrophy
Muscular fibers undergo degeneration and are replaced by fibrofatty tissue and collagen
Mutations in gene coding for Dystrophin
Muscular Dystrophy
Types of Muscular Dystrophy
Duchenne Muscular Dystrophy
Becker Muscular Dystrophy
Fibrofatty replacement of muscles
Proliferation of endomysial connective tissue
Degeneration of muscle fibers
Muscular Dystrophy
Clinical Features of Muscular Dystrophy
Gower Sign
Calf Pseudohypertrophy
Sustained involuntary contraction of muscles
Asso with CTG trinucleotide repeats
Myotonic Dystrophy
Ring fiber
Sarcoplasmic mass
Myotonic Dystrophy
Sarcolemmal band of cytoplasm
Ring Fiber
Irregular mass of sarcoplasm
Sarcoplasmic mass
MELAS Syndrome
Mitochondral Encephalomyopathy, Lactic Acidosis, Stroke-like Episodes
Proximal muscle weakness
External ophthalmoplegia
Neurologic Symptoms
Mitochondrial Myopathies (MELAS)
Aggregates of abnormal mitochondria
RAGGED FIBERS
PARKING LOT INCLUSIONS
Mitochondrial myopathies
irrrgular fiber with subsarcolemm collections of mitochondria
RAGGED FIBERS
alterations in structure of cristae
PARKING LOT INCLUSIONS
Inflammatory disorder of the SKIN and SKELETAL MUSCLE
Dermatomyositis
Lilac or HELIOTROPE rash on eyelids with periorbital edema
Dusky patched over the knuckles, elbows and knees (Gottron lesions)
PROXIMAL muscle weakness
Dermatomyositis
Inflammatory disorders that present as Proximal Weakness
Dermatomyositis
Polymyositis