Acute type II myofiber atrophy in critical illness.

Abstract:

:Two patients with acute onset of profound weakness and loss of muscle bulk during a critical illness had unusual histopathological changes of type II myofibers. Both patients had respiratory failure and prolonged neuromuscular blockade. High-dose steroids were used in only one case and atracurium in the other. Muscle biopsies at days 30 to 32 demonstrated widespread atrophy, basophilic cytoplasm, and vesicular nuclei, features suggestive of regeneration involving virtually all type II myofibers and sparing type I myofibers. This may be another variant or critical illness myopathy or a variation of the pathology during the course of illness.

journal_name

Neurology

journal_title

Neurology

authors

Gutmann L,Blumenthal D,Gutmann L,Schochet SS

doi

10.1212/wnl.46.3.819

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

819-21

issue

3

eissn

0028-3878

issn

1526-632X

journal_volume

46

pub_type

杂志文章
  • Distinguishing between extrinsic and intrinsic tongue muscle weakness in unilateral hypoglossal palsy.

    abstract::A 53-year-old man presented with multiple right cranial nerve palsies that included the tongue. When the tongue was protruded, it deviated to the right. However, when the tongue was not protruded, he could readily turn the tip of the tongue to the left, but not to the right. Protrusion of the tongue requires the actio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1367

    authors: Riggs JE

    更新日期:1984-10-01 00:00:00

  • Bioavailability of interferon beta 1b in MS patients with and without neutralizing antibodies.

    abstract:BACKGROUND:Neutralizing antibodies (NAB) to interferon beta (IFNbeta) occur in about one-third of MS patients treated with IFNbeta-1b and there is an association with a loss of clinical and MRI efficacy. However, there are no data regarding the bioavailability of IFNbeta-1b in patients with and without NAB. METHODS:Th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.6.1239

    authors: Deisenhammer F,Reindl M,Harvey J,Gasse T,Dilitz E,Berger T

    更新日期:1999-04-12 00:00:00

  • A controlled trial of recombinant methionyl human BDNF in ALS: The BDNF Study Group (Phase III).

    abstract:OBJECTIVE:To replicate the beneficial effect of brain-derived neurotrophic factor (BDNF) in 1,135 ALS patients in a multicenter trial. BACKGROUND:In a phase I through II study, BDNF appeared to increase survival and retard loss of pulmonary function in ALS patients. METHODS:Patients were randomized to placebo, or 25 ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.52.7.1427

    authors:

    更新日期:1999-04-22 00:00:00

  • A prospective study of predictors of poststroke depression.

    abstract:OBJECTIVE:To investigate the association between early depressive behavior after stroke onset and occurrence of poststroke depression (PSD) at 3- and 12-month follow-up evaluations. METHODS:The study prospectively included 273 patients with first-ever single uncomplicated ischemic stroke. In the stroke unit, nurses sc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000150935.05940.2D

    authors: Carota A,Berney A,Aybek S,Iaria G,Staub F,Ghika-Schmid F,Annable L,Guex P,Bogousslavsky J

    更新日期:2005-02-08 00:00:00

  • Relationship between environmental factors and gray matter atrophy in refractory MTLE.

    abstract:OBJECTIVE:To investigate clinical, neuropsychological, and MRI abnormalities (gray matter atrophy [GMA] and white matter atrophy [WMA]) in surgical mesial temporal lobe epilepsy (MTLE) patients with and without familial antecedent for epilepsy. METHODS:A cohort study including 69 operated patients with unilateral MTLE...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d76b72

    authors: Yasuda CL,Morita ME,Alessio A,Pereira AR,Balthazar ML,Saúde AV,Costa AL,Costa AL,Cardoso TA,Betting LE,Guerreiro CA,Damasceno BP,Lopes-Cendes I,Tedeschi H,de Oliveira E,Cendes F

    更新日期:2010-03-30 00:00:00

  • Macrostructural abnormalities in Korsakoff syndrome compared with uncomplicated alcoholism.

    abstract:OBJECTIVE:To distinguish, in patients with Korsakoff syndrome (KS), the structural brain abnormalities shared with alcoholic patients without KS (AL), from those specific to KS. METHODS:MRI data were collected in 11 alcoholic patients with KS, 34 alcoholic patients without KS, and 25 healthy control subjects (CS). Gra...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318251834e

    authors: Pitel AL,Chételat G,Le Berre AP,Desgranges B,Eustache F,Beaunieux H

    更新日期:2012-04-24 00:00:00

  • Prospective natural history study of C9orf72 ALS clinical characteristics and biomarkers.

    abstract:OBJECTIVE:To define the natural history of the C9orf72 amyotrophic lateral sclerosis (C9ALS) patient population, develop disease biomarkers, and characterize patient pathologies. METHODS:We prospectively collected clinical and demographic data from 116 symptomatic C9ALS and 12 non-amyotrophic lateral sclerosis (ALS) f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008359

    authors: Cammack AJ,Atassi N,Hyman T,van den Berg LH,Harms M,Baloh RH,Brown RH,van Es MA,Veldink JH,de Vries BS,Rothstein JD,Drain C,Jockel-Balsarotti J,Malcolm A,Boodram S,Salter A,Wightman N,Yu H,Sherman AV,Esparza TJ,Mc

    更新日期:2019-10-22 00:00:00

  • Effect of hematin in porphyric neuropathy.

    abstract::Early, intravenous administration of hematin in a patient with acute intermittent porphyria and severe quadriparesis may have produced partial but remarkable improvement of neuropathy, and resulted in simultaneous decline of porphyrin precursors in the blood. Intermittent, biweekly hematin infusions given 1 month afte...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.11.1053

    authors: Bosch EP,Pierach CA,Bossenmaier I,Cardinal R,Thorson M

    更新日期:1977-11-01 00:00:00

  • Hypnic headache: clinical features, pathophysiology, and treatment.

    abstract::Hypnic headache has been described in several case reports since 1981 and is regarded as an idiopathic headache disorder. In this review of 71 cases in the literature, the clinical features, neurophysiologic including polysomnographic findings, and treatment procedures are analyzed and the pathophysiology of this cond...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000046582.21771.9c

    authors: Evers S,Goadsby PJ

    更新日期:2003-03-25 00:00:00

  • APOE epsilon2 is associated with intact cognition but increased Alzheimer pathology in the oldest old.

    abstract:BACKGROUND:Many studies have examined the role of APOE genotype in the development of dementia, specifically Alzheimer disease (AD). The APOE epsilon4 allele (APOE4) is a risk factor for both clinical and neuropathologic AD whereas the APOE epsilon2 allele (APOE2) seems to be protective. This would predict, even with a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000343853.00346.a4

    authors: Berlau DJ,Corrada MM,Head E,Kawas CH

    更新日期:2009-03-03 00:00:00

  • Ouabain reverses conduction disturbances in single demyelinated nerve fibers.

    abstract::Symptoms in patients with demyelinating disorders are associated with 3 important conduction abnormalities: complete conduction block, rate-dependent conduction block, and slowed impulse conduction. The recent observation that the electrogenic Na/K pump causes the nerve membrane hyperpolarization responsible for rate-...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.10.1364

    authors: Kaji R,Sumner AJ

    更新日期:1989-10-01 00:00:00

  • Reduced basal ganglia volumes in Tourette's syndrome using three-dimensional reconstruction techniques from magnetic resonance images.

    abstract::Using a 1.5-tesla GE Signa MR scanner, we imaged the brains of 14 right-handed Tourette's syndrome (TS) patients (11 men, three women), aged 18 to 49 years, who had minimal lifetime neuroleptic exposure. We also studied an equal number of normal controls individually matched for age, sex, and handedness and group-matc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.5.941

    authors: Peterson B,Riddle MA,Cohen DJ,Katz LD,Smith JC,Hardin MT,Leckman JF

    更新日期:1993-05-01 00:00:00

  • Can allodynic migraine patients be identified interictally using a questionnaire?

    abstract:OBJECTIVE:The gradual development of cutaneous allodynia during the course of a migraine attack is commonly detected by quantitative sensory testing (QST) in migraineurs seeking secondary and tertiary medical help. In this study, the authors developed a questionnaire that tested the recollection of the patients on thei...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000183358.53939.38

    authors: Jakubowski M,Silberstein S,Ashkenazi A,Burstein R

    更新日期:2005-11-08 00:00:00

  • Paraparesis in hereditary multiple exostoses: case report.

    abstract::The authors report a case of hereditary multiple exostoses (HME) with neurologic complications, and review the literature. A 23-year-old man exhibited a worsening spastic paraparesis with sphincter dysfunction. The cranial nerves and the exteroceptive and deep sensations were apparently undamaged. The family history, ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.29.7.973

    authors: Ferrari G,Taddei L,Vivenza C,Rossi G

    更新日期:1979-07-01 00:00:00

  • Establishment of primary stroke centers: a survey of physician attitudes and hospital resources.

    abstract:OBJECTIVES:To survey US physicians involved in acute stroke care to determine the proportion of hospitals that currently meet the recommended Brain Attack Coalition (BAC) criteria for Primary Stroke Centers (PSC) and obtain opinions regarding the value of stroke centers. METHODS:A survey regarding the BAC guidelines f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000063314.67393.58

    authors: Kidwell CS,Shephard T,Tonn S,Lawyer B,Murdock M,Koroshetz W,Alberts M,Hademenos GJ,Saver JL

    更新日期:2003-05-13 00:00:00

  • Multiple sclerosis after age 50.

    abstract::When multiple sclerosis (MS) presents late in life (after the age of 50), it frequently gives diagnostic difficulty. In a large MS clinic population (N = 838), 9.4% of the patients had late onset of MS. Slow deterioration of motor function characterized the initial symptoms and subsequent course of this group of older...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.12.1537

    authors: Noseworthy J,Paty D,Wonnacott T,Feasby T,Ebers G

    更新日期:1983-12-01 00:00:00

  • Quantitative strength testing in ALS clinical trials.

    abstract:OBJECTIVE:To study the attributes of quantitative strength testing using hand-held dynamometry (HHD) as an efficacy measure in 2 large phase 3 amyotrophic lateral sclerosis (ALS) trials. METHODS:In the phase 3 trials of ceftriaxone and dexpramipexole, 513 and 943 patients, respectively, were enrolled in double-blind, ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000002941

    authors: Shefner JM,Liu D,Leitner ML,Schoenfeld D,Johns DR,Ferguson T,Cudkowicz M

    更新日期:2016-08-09 00:00:00

  • HLA-DR,DQ and APOE genotypes and gender influence in Sardinian primary progressive MS.

    abstract::The authors examined the influence of APOE and human leukocyte antigen-DRB1-DQB1 polymorphisms on the course of multiple sclerosis in 871 patients, 773 with relapsing and 98 with primary progressive disease, and 348 control subjects. The risk of the primary progressive course was increased (odds ratio = 6.81, p = 0.00...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000150579.54878.00

    authors: Cocco E,Sotgiu A,Costa G,Murru MR,Mancosu C,Murru R,Lai M,Contu P,Marrosu MG

    更新日期:2005-02-08 00:00:00

  • Incident lacunes influence cognitive decline: the LADIS study.

    abstract:BACKGROUND:In cerebral small vessel disease, the core MRI findings include white matter lesions (WML) and lacunar infarcts. While the clinical significance of WML is better understood, the contribution of lacunes to the rate of cognitive decline has not been established. This study investigated whether incident lacunes...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31821d752f

    authors: Jokinen H,Gouw AA,Madureira S,Ylikoski R,van Straaten EC,van der Flier WM,Barkhof F,Scheltens P,Fazekas F,Schmidt R,Verdelho A,Ferro JM,Pantoni L,Inzitari D,Erkinjuntti T,LADIS Study Group.

    更新日期:2011-05-31 00:00:00

  • 31P NMR studies in Duchenne muscular dystrophy: age-related metabolic changes.

    abstract::To evaluate possible progressive metabolic changes in Duchenne muscular dystrophy, we used 31P nuclear magnetic resonance spectroscopy to measure high-energy phosphate compounds and phosphorylated diesters (PDE) in resting gastrocnemius muscle of 14 Duchenne patients and 10 normal boys. The patients had higher inorgan...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.165

    authors: Younkin DP,Berman P,Sladky J,Chee C,Bank W,Chance B

    更新日期:1987-01-01 00:00:00

  • Propagation of interictal epileptic activity in temporal lobe epilepsy.

    abstract::We recorded interictal spikes with closely spaced scalp electrodes and sphenoidal electrodes in four patients with temporal lobe epilepsy. We used multiple dipole modeling to study the number, three-dimensional intracerebral location, time activity, and functional relationship of the neuronal sources underlying the ep...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.45.1.118

    authors: Baumgartner C,Lindinger G,Ebner A,Aull S,Serles W,Olbrich A,Lurger S,Czech T,Burgess R,Lüders H

    更新日期:1995-01-01 00:00:00

  • Summary of evidence-based guideline: complementary and alternative medicine in multiple sclerosis: report of the guideline development subcommittee of the American Academy of Neurology.

    abstract:OBJECTIVE:To develop evidence-based recommendations for complementary and alternative medicine (CAM) in multiple sclerosis (MS). METHODS:We searched the literature (1970-March 2011; March 2011-September 2013 MEDLINE search), classified articles, and linked recommendations to evidence. RESULTS AND RECOMMENDATIONS:Clin...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/WNL.0000000000000250

    authors: Yadav V,Bever C Jr,Bowen J,Bowling A,Weinstock-Guttman B,Cameron M,Bourdette D,Gronseth GS,Narayanaswami P

    更新日期:2014-03-25 00:00:00

  • Cerebral vasocapacitance and TIAs.

    abstract::We report the vasocapacitance of the cerebral circulation, as determined by cerebral blood flow reactivity to induced hypercapnia using fluoromethane positron emission tomography, in 32 patients with unilateral anterior circulation transient ischemic attacks. A hemodynamic subset of eight patients, defined based on ex...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.1.25

    authors: Levine RL,Lagreze HL,Dobkin JA,Hanson JM,Satter MR,Rowe BR,Nickles RJ

    更新日期:1989-01-01 00:00:00

  • Clinical and laboratory assessment of distal peripheral nerves in Gulf War veterans and spouses.

    abstract:BACKGROUND:The prevalence of symptoms suggesting distal symmetric polyneuropathy (DSP) was reported to be higher among deployed veterans (DV) to the Persian Gulf in 1990-1991 than to control non-deployed veterans (NDV). The authors therefore compared the prevalence of DSP by direct examination of DV and their spouses t...

    journal_title:Neurology

    pub_type: 历史文章,杂志文章,多中心研究

    doi:10.1212/01.wnl.0000138426.88460.cb

    authors: Davis LE,Eisen SA,Murphy FM,Alpern R,Parks BJ,Blanchard M,Reda DJ,King MK,Mithen FA,Kang HK

    更新日期:2004-09-28 00:00:00

  • Initiating treatment for idiopathic parkinsonism.

    abstract::The initial decision in the management of idiopathic parkinsonism is whether any pharmacotherapy is indicated. There is no conclusive evidence that treatment is helpful before symptoms start to affect the patient's life, although some neurologists believe that deprenyl, also known as selegiline, could be useful. Once ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Calne DB

    更新日期:1994-07-01 00:00:00

  • A pilot study of MRI activity before and during interferon beta-1a therapy.

    abstract::We compared the number of new gadolinium-enhancing and T2-weighted lesions on six monthly MRI scans in eight patients with relapsing multiple sclerosis before and during treatment with weekly intramuscular interferon beta-1a (Avonex; 30 microg). MRI activity was modestly reduced during treatment (p = 0.016). The treat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.4.874

    authors: Waubant E,Goodkin DE,Sloan R,Andersson PB

    更新日期:1999-09-11 00:00:00

  • Burnout, career satisfaction, and well-being among US neurology residents and fellows in 2016.

    abstract:OBJECTIVE:To study prevalence of and factors contributing to burnout, career satisfaction, and well-being in US neurology residents and fellows. METHODS:A total of 938 US American Academy of Neurology member neurology residents and fellows were surveyed using standardized measures of burnout, career satisfaction, and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004135

    authors: Levin KH,Shanafelt TD,Keran CM,Busis NA,Foster LA,Molano JRV,O'Donovan CA,Ratliff JB,Schwarz HB,Sloan JA,Cascino TL

    更新日期:2017-08-01 00:00:00

  • Declining incidence of multiple sclerosis in the Orkney Islands.

    abstract::The incidence of MS in the Orkney Islands has been updated from 1941 to September 21, 1983. Since 1965, MS incidence rates have fallen significantly when compared with those for 1941 to 1964. Alterations in age-specific prevalence, mean duration of illness, and mean age of the MS population are consistent with the dec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.4.545

    authors: Cook SD,Cromarty JI,Tapp W,Poskanzer D,Walker JD,Dowling PC

    更新日期:1985-04-01 00:00:00

  • Cerebrospinal fluid creatine kinase BB isoenzyme activity and neurologic prognosis after cardiac arrest.

    abstract:OBJECTIVE:To assess the relationship between CSF creatine kinase BB isoenzyme activity (CSF CKBB) and neurologic outcome after cardiac arrest in clinical practice. BACKGROUND:CSF CKBB reflects the extent of brain damage following cardiac arrest. METHODS:To help with prognosis, treating physicians ordered CSF CKBB tes...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.2.352

    authors: Tirschwell DL,Longstreth WT Jr,Rauch-Matthews ME,Chandler WL,Rothstein T,Wray L,Eng LJ,Fine J,Copass MK

    更新日期:1997-02-01 00:00:00

  • Experimental pain assessment in patients with poststroke aphasia.

    abstract:OBJECTIVE:To evaluate an observational-behavioral pain tool among individuals with acute poststroke aphasia. METHODS:We performed a randomized, double-blind, controlled study of experimental pain assessment among 36 adult patients with acute poststroke aphasia. Patients were administered 3 levels of mechanical pain, i...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000006081

    authors: Soares CD,Panuganti PK,Shrivastava A,Aroor S,Keinath KM,Bromagen MC,Howard ME,Carlson C,Smith JH

    更新日期:2018-08-28 00:00:00