High serum creatine kinase levels associated with cylindrical spirals at muscle biopsy.

Abstract:

:We studied the muscle biopsy from an asymptomatic patient with high serum creatine kinase values. Subsarcolemmal and intermyofibrillar granular inclusions were seen at the light microscopy level. Ultrastructural observation showed clusters of cylindrical spirals (CS). CS are nonspecific, morphological finding, so far reported only in a few cases, presenting with a wide variety of clinical phenotypes. The case we describe is peculiar because of the complete lack of clinical symptoms. The nature of the CS is unknown; we studied a possible alteration of cytoskeletal proteins using a set of different antibodies against these structures, but none of them reacted with CS. Also, since CS have been described in association with mitochondrial abnormalities, and since in our case CS were strongly positive when stained for succinate dehydrogenase, we performed specific immunohistochemical and genetic studies which ruled out any major mitochondrial alterations.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Rapuzzi S,Prelle A,Moggio M,Rigoletto C,Ciscato P,Comi G,Francesca F,Scarlato G

doi

10.1007/BF00318582

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

660-4

issue

6

eissn

0001-6322

issn

1432-0533

journal_volume

90

pub_type

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