Decrease of neurons in the medullary arcuate nucleus in myotonic dystrophy

Respiratory insufficiency has been reported frequently in patients with myotonic dystrophy (MyD). Recent data support the hypothesis that this respiratory failure results from a primary dysfunction of the central nervous system. The medullary arcuate nucleus (ARC) has been shown to be involved in th...

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Veröffentlicht in:Acta neuropathologica 2001-07, Vol.102 (1), p.89-93
Hauptverfasser: ONO, Seiitsu, TAKAHASHI, Keiichi, KANDA, Fumio, JINNAI, Kenji, FUKUOKA, Yoshihiro, MITAKE, Shigehisa, INAGAKI, Toshiaki, KURISAKI, Hiroshi, NAGAO, Koichi, SHIMIZU, Natsue
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container_title Acta neuropathologica
container_volume 102
creator ONO, Seiitsu
TAKAHASHI, Keiichi
KANDA, Fumio
JINNAI, Kenji
FUKUOKA, Yoshihiro
MITAKE, Shigehisa
INAGAKI, Toshiaki
KURISAKI, Hiroshi
NAGAO, Koichi
SHIMIZU, Natsue
description Respiratory insufficiency has been reported frequently in patients with myotonic dystrophy (MyD). Recent data support the hypothesis that this respiratory failure results from a primary dysfunction of the central nervous system. The medullary arcuate nucleus (ARC) has been shown to be involved in the regulation of respiration. We performed a quantitative study of neurons in the ARC in eight MyD patients, ten control subjects with other neurological diseases (control group A) and eight control subjects without neurological diseases (control group B). Alveolar hypoventilation of the central type occurred in three of the MyD patients but not in the remaining MyD patients or controls. The density of neurons in the ARC in MyD patients with hypoventilation was significantly lower than in MyD patients without hypoventilation and control groups A and B. There was no significant difference in the neuronal density of the ARC between MyD patients without hypoventilation and control groups A and B. These data suggest that the neuronal loss of the ARC is associated with the presence of hypoventilation in MyD.
doi_str_mv 10.1007/s004010000359
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Recent data support the hypothesis that this respiratory failure results from a primary dysfunction of the central nervous system. The medullary arcuate nucleus (ARC) has been shown to be involved in the regulation of respiration. We performed a quantitative study of neurons in the ARC in eight MyD patients, ten control subjects with other neurological diseases (control group A) and eight control subjects without neurological diseases (control group B). Alveolar hypoventilation of the central type occurred in three of the MyD patients but not in the remaining MyD patients or controls. The density of neurons in the ARC in MyD patients with hypoventilation was significantly lower than in MyD patients without hypoventilation and control groups A and B. There was no significant difference in the neuronal density of the ARC between MyD patients without hypoventilation and control groups A and B. These data suggest that the neuronal loss of the ARC is associated with the presence of hypoventilation in MyD.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11547956</pmid><doi>10.1007/s004010000359</doi><tpages>5</tpages></addata></record>
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subjects Aged
Alveoli
Arcuate nucleus
Arcuate Nucleus of Hypothalamus - pathology
Biological and medical sciences
Cell Count
Central nervous system
Diseases of striated muscles. Neuromuscular diseases
Female
Humans
Hypoventilation
Hypoventilation - etiology
Male
Medical sciences
Medulla Oblongata
Middle Aged
Myotonic dystrophy
Myotonic Dystrophy - complications
Myotonic Dystrophy - pathology
Neurological diseases
Neurology
Neurons
Neurons - pathology
Reference Values
Respiration
title Decrease of neurons in the medullary arcuate nucleus in myotonic dystrophy
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