Muscle Biopsy and the Clinical Course of Infantile Spinal Muscular Atrophy

Eight infants with severe early infantile spinal muscular atrophy diagnosed by clinical presentation and muscle biopsy were studied. The extent of alterations in muscle histology, histochemistry, and ultrastructure did not reflect the relative severity of the clinical presentation or the course of t...

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Veröffentlicht in:Journal of child neurology 1991-10, Vol.6 (4), p.324-328
Hauptverfasser: Zalneraitis, Edwin L., Halperin, John J., Grunnet, Margaret L., Russman, Barry S., Peress, Nancy
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container_end_page 328
container_issue 4
container_start_page 324
container_title Journal of child neurology
container_volume 6
creator Zalneraitis, Edwin L.
Halperin, John J.
Grunnet, Margaret L.
Russman, Barry S.
Peress, Nancy
description Eight infants with severe early infantile spinal muscular atrophy diagnosed by clinical presentation and muscle biopsy were studied. The extent of alterations in muscle histology, histochemistry, and ultrastructure did not reflect the relative severity of the clinical presentation or the course of the illness. In seven biopsies, ultrastructural studies demonstrated empty sleeves of basal lamina projecting from the surface of small myofibers. We conclude that severe infantile spinal muscular atrophy often results in myofiber atrophy similar to that found in other motor neuron diseases, and it is not solely a hypotrophic process. Muscle biopsy findings are important because they help to establish the diagnosis, but they do not help predict the severity of disease among infants with this condition. (J Child Neurol 1991;6:324-328).
doi_str_mv 10.1177/088307389100600407
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subjects Basement Membrane - pathology
Biopsy
Female
Humans
Infant
Infant, Newborn
Male
Microscopy, Electron
Motor Skills - physiology
Muscles - pathology
Myofibrils - pathology
Spinal Muscular Atrophies of Childhood - pathology
title Muscle Biopsy and the Clinical Course of Infantile Spinal Muscular Atrophy
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