Difference between revisions of "Neuropathology"

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==Multiple sclerosis==
==Multiple sclerosis==
*Abbreviated ''MS''.
:Abbreviated '''MS'''.
===General===
{{Main|Multiple sclerosis}}
*A bread 'n butter disease of neurology in Canada.
 
Clinical:
*CSF: oligoclonal bands of immunoglobulin.<ref>{{Ref PBoD8|1311}}</ref>
 
Classification of MS lesions:
*Early active.
*Inactive.
*Early remyelinating.
*Late remyelinating.
 
===Radiologic/Gross===
Features:<ref>URL: [http://library.med.utah.edu/kw/ms/path.html http://library.med.utah.edu/kw/ms/path.html]. Accessed on: 12 July 2010.</ref>
*White matter lesions.
**Cerebrum (classically): periventricular distribution.
**Optic nerves (optic neuritis) - classic presentation.
 
===Microscopic===
Features:<ref>URL: [http://library.med.utah.edu/kw/ms/path.html http://library.med.utah.edu/kw/ms/path.html]. Accessed on: 12 July 2010.</ref>
*Perivascular inflammation.
**Esp. lymphocytes.
*Demyelination.
**Subcortical myelinated fibers are often spared.
 
Chronic lesions - specific features:<ref>{{Ref APBR|425 Q43}}</ref>
#Macrophages.
#Astrocyte enlargement.
 
DDx:
*[[ADEM]].
*[[Neuromyelitis optica]].
*[[Lymphoma]].
*[[Diffuse astrocytoma]].
 
Images:
*[http://path.upmc.edu/cases/case79.html Multiple sclerosis masquerading as a diffuse astrocytoma - several images (upmc.edu)].
*[http://path.upmc.edu/cases/case636.html Tumefactive multiple sclerosis - several images (upmc.edu)].
 
===IHC===
*HAM-56 - macrophages.
*CD8 - lymphocytes.


==Cerebral amyloid angiopathy==
==Cerebral amyloid angiopathy==
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