What Every Neuropathologist Needs to Know: The Muscle Biopsy

Abstract Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen sections of muscle biopsies with minimal artifacts and identify key histopathologic features of neuromuscular disease in hematoxylin and eo...

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Published inJournal of neuropathology and experimental neurology Vol. 79; no. 7; pp. 719 - 733
Main Authors Nix, James S, Moore, Steven A
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.07.2020
by American Association of Neuropathologists, Inc
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Abstract Abstract Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen sections of muscle biopsies with minimal artifacts and identify key histopathologic features of neuromuscular disease in hematoxylin and eosin-stained sections as well as implement and interpret a basic panel of additional histochemical, enzyme histochemical, and immunohistochemical stains. Important to everyday practice is a working knowledge of normal muscle histology at different ages, muscle motor units, pitfalls of myotendinous junctions, nonpathologic variations encountered at traditional and nontraditional muscle sites, the pathophysiology of myonecrosis and regeneration, and approaches to distinguish muscular dystrophies from inflammatory myopathies and other necrotizing myopathies. Here, we provide a brief overview of what every neuropathologist needs to know concerning the muscle biopsy.
AbstractList Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen sections of muscle biopsies with minimal artifacts and identify key histopathologic features of neuromuscular disease in hematoxylin and eosin-stained sections as well as implement and interpret a basic panel of additional histochemical, enzyme histochemical, and immunohistochemical stains. Important to everyday practice is a working knowledge of normal muscle histology at different ages, muscle motor units, pitfalls of myotendinous junctions, nonpathologic variations encountered at traditional and nontraditional muscle sites, the pathophysiology of myonecrosis and regeneration, and approaches to distinguish muscular dystrophies from inflammatory myopathies and other necrotizing myopathies. Here, we provide a brief overview of what every neuropathologist needs to know concerning the muscle biopsy.
Abstract Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen sections of muscle biopsies with minimal artifacts and identify key histopathologic features of neuromuscular disease in hematoxylin and eosin-stained sections as well as implement and interpret a basic panel of additional histochemical, enzyme histochemical, and immunohistochemical stains. Important to everyday practice is a working knowledge of normal muscle histology at different ages, muscle motor units, pitfalls of myotendinous junctions, nonpathologic variations encountered at traditional and nontraditional muscle sites, the pathophysiology of myonecrosis and regeneration, and approaches to distinguish muscular dystrophies from inflammatory myopathies and other necrotizing myopathies. Here, we provide a brief overview of what every neuropathologist needs to know concerning the muscle biopsy.
Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen sections of muscle biopsies with minimal artifacts and identify key histopathologic features of neuromuscular disease in hematoxylin and eosin-stained sections as well as implement and interpret a basic panel of additional histochemical, enzyme histochemical, and immunohistochemical stains. Important to everyday practice is a working knowledge of normal muscle histology at different ages, muscle motor units, pitfalls of myotendinous junctions, nonpathologic variations encountered at traditional and nontraditional muscle sites, the pathophysiology of myonecrosis and regeneration, and approaches to distinguish muscular dystrophies from inflammatory myopathies and other necrotizing myopathies. Here, we provide a brief overview of what every neuropathologist needs to know concerning the muscle biopsy. Key Words: Inflammatory myopathy, Muscle biopsy, Muscular dystrophy, Myopathy, Neurogenic atrophy.
Audience Academic
Author Nix, James S
Moore, Steven A
AuthorAffiliation Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Pathology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa
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– name: n1 Department of Pathology, Johns Hopkins University School of Medicine , Baltimore, Maryland
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  surname: Moore
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  email: steven-moore@uiowa.edu
  organization: Department of Pathology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa
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Issue 7
Keywords Neurogenic atrophy
Muscle biopsy
Inflammatory myopathy
Muscular dystrophy
Myopathy
Language English
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Snippet Abstract Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare...
Competence in muscle biopsy evaluation is a core component of neuropathology practice. The practicing neuropathologist should be able to prepare frozen...
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SubjectTerms Biopsy
Biopsy - methods
Biopsy - standards
Brain research
Care and treatment
Diagnosis
Humans
Invited Review
Methods
Muscle, Skeletal - pathology
Muscle, Smooth - pathology
Nervous system diseases
Neuromuscular Diseases - pathology
Neuropathology - education
Neuropathology - methods
Neuropathology - standards
Title What Every Neuropathologist Needs to Know: The Muscle Biopsy
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https://www.ncbi.nlm.nih.gov/pubmed/32529201
https://www.proquest.com/docview/2426559036
https://search.proquest.com/docview/2412991103
https://pubmed.ncbi.nlm.nih.gov/PMC7304986
Volume 79
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