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 in | Journal of neuropathology and experimental neurology Vol. 79; no. 7; pp. 719 - 733 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
England
Oxford University Press
01.07.2020
by American Association of Neuropathologists, Inc |
Subjects | |
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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. |
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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 |
AuthorAffiliation_xml | – name: 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 – name: n2 Department of Pathology, Carver College of Medicine, The University of Iowa , Iowa City, Iowa – name: n1 Department of Pathology, Johns Hopkins University School of Medicine , Baltimore, Maryland |
Author_xml | – sequence: 1 givenname: James S surname: Nix fullname: Nix, James S organization: Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland – sequence: 2 givenname: Steven A orcidid: 0000-0002-6353-7900 surname: Moore fullname: Moore, Steven A email: steven-moore@uiowa.edu organization: Department of Pathology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32529201$$D View this record in MEDLINE/PubMed |
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Keywords | Neurogenic atrophy Muscle biopsy Inflammatory myopathy Muscular dystrophy Myopathy |
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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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