Neuromuscular

DIFFERENTIAL FASCICULAR LOSS OF AXONS


Gomori trichrome stain
Variable loss of myelinated (red) axons in the same nerve.
  Severe loss of myelinated axons in a fascicle on the left.
  More myelinated axons remain in an adjacent fascicle (right)


Toluidine blue stain


Drawing from Wiegert-Pal stain
R. Cassirer (1910)
Loss of myelinated axons
is greater in some fascicles
(left) than others (upper right).
Subperineurial edema is present.
Leprous polyneuropathy with
differential fascicular loss of axons


Toluidine blue stain
This pattern of patchy axonal loss is associated with

Focal inflammation around a small endoneurial vessel (Left).
Loss of myelinated axons (red) around the vessel (Right).


Also see Axonal loss: Differential fascicular loss

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8/26/2000