Denervation Atrophy

Diagnosis:

Muscle biopsy:

  • Fibre size variation with angulated fibres (rounded fibres in spinal muscular atrophy)
  • Grouped atrophy, bags of nuclei
  • Target fibres
  • Pseudomyopathic pattern
  • Fibre distribution (ATPases): fibre type grouping, grouped atrophy of type 2 and type 1 fibres
  • NADH: target fibres, central clearing

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