Peripheral nerve morphometry in stroke patients

Sural nerve biopsy specimens from affected and non-affected limbs of stroke patients were examined morphometrically. Two principle abnormalities of peripheral nerve were found in hemiparetic and hemiplegic limbs. First, the frequency of abnormal teased nerve fibers was significantly increased with a...

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Veröffentlicht in:Journal of the neurological sciences 1984-09, Vol.65 (3), p.341-352
Hauptverfasser: Pollock, Martin, Nukada, Hitoshi, Allpress, Stephen, Calder, Christopher, Mackinnon, Murray
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container_end_page 352
container_issue 3
container_start_page 341
container_title Journal of the neurological sciences
container_volume 65
creator Pollock, Martin
Nukada, Hitoshi
Allpress, Stephen
Calder, Christopher
Mackinnon, Murray
description Sural nerve biopsy specimens from affected and non-affected limbs of stroke patients were examined morphometrically. Two principle abnormalities of peripheral nerve were found in hemiparetic and hemiplegic limbs. First, the frequency of abnormal teased nerve fibers was significantly increased with abnormal internodes frequently “clustered” and showing a 50% or more reduction in myelin thickness. Second, the mean diameter of myelinated nerve fibers was reduced. These results suggest a primary atrophy of peripheral nerve fibers in the affected limbs of stroke patients with secondary demyelination. Possible aetiological factors include disuse, transynaptic degeneration, ischemia, pressure effect, and decreased axoplasmic flow. It would seem that the structural integrity of peripheral nerve is frequently compromised following a cerebral lesion.
doi_str_mv 10.1016/0022-510X(84)90097-2
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Aged
Axons - ultrastructure
Biological and medical sciences
Biopsy
Cerebral Infarction - pathology
Demyelinating Diseases - pathology
Female
Hemiplegia - pathology
Humans
Male
Medical sciences
Microscopy, Electron
Middle Aged
Morphometry
Myelin Sheath - ultrastructure
Nerve biopsy
Nerve Fibers, Myelinated - ultrastructure
Neurology
Peripheral nerve
Schwann Cells - ultrastructure
Spinal Nerves - pathology
Stroke
Sural Nerve - pathology
Tumors of the nervous system. Phacomatoses
Wallerian Degeneration
title Peripheral nerve morphometry in stroke patients
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