{"title":"History of the histopathology of the peripheral nerves","authors":"Stéphane Mathis , Mégane Le Quang , Marie-Laure Martin-Négrier , Jean-Michel Vallat","doi":"10.1016/j.nmd.2025.105393","DOIUrl":"10.1016/j.nmd.2025.105393","url":null,"abstract":"<div><div>The history of peripheral neuropathology, in particular the study of the normal nerve, spans centuries and involves significant contributions from many scientists and physicians. The earliest knowledge of nerves dates back to ancient Greece, accelerating from the 18th century onwards. This historical overview highlights the evolution of our understanding of peripheral nerves, from ancient theories to modern scientific discoveries, illustrating the collaborative and progressive nature of scientific progress. This article discusses various neurological theories such as “neuronal circulation” and the concept of “nerve fluid”, and explains the main stages in the description of the various principal structures of the normal peripheral nerve. It also explores the main steps of the historical evolution of peripheral neuropathology, focusing on the pathological analysis of peripheral nerves and various pathological key concepts (nerve degeneration, demyelination, nerve vasculitis, amyloid deposits, etc.). The development of microscopy techniques has significantly advanced our understanding of peripheral nerve histology and pathology. Early studies involved examining nerves from autopsies and later from living patients, leading to the establishment of nerve biopsy as a diagnostic tool. The article discusses the debate surrounding nerve biopsy techniques, including the choice of nerves and sampling methods.</div></div>","PeriodicalId":19135,"journal":{"name":"Neuromuscular Disorders","volume":"51 ","pages":"Article 105393"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Woods , Gemma Fisher , Sarah Johnson , Charlotte Lilien , Laurent Servais
{"title":"A systematic review on motor outcome measures in congenital myopathy","authors":"Matthew Woods , Gemma Fisher , Sarah Johnson , Charlotte Lilien , Laurent Servais","doi":"10.1016/j.nmd.2025.105392","DOIUrl":"10.1016/j.nmd.2025.105392","url":null,"abstract":"<div><div>Congenital myopathies (CMYOs) encompass a group of genetically heterogeneous rare muscle disorders with clinical features including hypotonia, muscle weakness leading to delayed or absent motor milestones, feeding and respiratory difficulties, and a myopathic facial appearance. CMYO categorisation includes: Nemaline Myopathy, Core Myopathy, Central Core Disease, Multi-Mini Core Disease, Congenital Fiber-type Disproportion Myopathy, Myosin Storage Myopathy, Centronuclear Myopathy, Myotubular Myopathy, X-linked Myotubular Myopathy, and Autosomal Centronuclear Myopathy. The aim of this systematic review is to evaluate the current evidence base of motor outcome measures used in the assessment of CMYO. Methodology was in accordance with the PRISMA 2020 guidelines and registered (PROSPERO CRD42024569701). Databases searched include PubMed, EMBASE, and Cochrane library. Peer reviewed, full-text, English language publications were included. The 31 articles included motor outcome measures of motor function, gross motor, muscle strength, and endurance. Twenty-six motor outcome measures were identified and all were found to have limited disease-specific metrics. This systematic review discussed motor outcome measure suitably in relation to disease characteristics and identified the lack of disease-specificity as the largest gap for future research.</div></div>","PeriodicalId":19135,"journal":{"name":"Neuromuscular Disorders","volume":"51 ","pages":"Article 105392"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Ellezam , Yves Troyanov , Océane Landon-Cardinal
{"title":"Clinical pearls and histopathological features help discriminate toxic rhabdomyolysis from immune-mediated necrotizing myopathy in statin-exposed patients","authors":"Benjamin Ellezam , Yves Troyanov , Océane Landon-Cardinal","doi":"10.1016/j.nmd.2025.105386","DOIUrl":"10.1016/j.nmd.2025.105386","url":null,"abstract":"<div><div>We have recently noted an increasing number of muscle biopsies performed to quickly rule out anti-HMGCR immune-mediated necrotizing myopathy (IMNM) in statin-treated patients with acute toxic rhabdomyolysis (TR). IMNM is a subacute to chronic progressive auto-immune myopathy diagnosed on clinical phenotype, serology and muscle biopsy, and TR is an acute potentially lethal condition usually diagnosed on clinical phenotype alone. Herein, we aimed to compare these muscle biopsies with a group of IMNM controls. Histopathological analysis of 36 biopsies from statin-exposed TR patients and 29 anti-HMGCR IMNM controls revealed overlapping morphologic patterns in 85 % of cases. Discriminating features highly suggestive of TR included predominance of acute necrotic fibers (<em>p</em> < 0.001), groups of 4+ adjacent necrotic fibers (<em>p</em> < 0.01), regenerative basophilic cuffs (<em>p</em> < 0.001), and lack of LC3<sup>+</sup> granular staining in non-necrotic fibers (<em>p</em> < 0.001). Review of clinical data revealed acute creatinine elevation in 94 % TR and none of IMNM controls. Creatine kinase levels (CKs) normalized on average in 12 days (range 8–21) in TR and in >30 days in all IMNM cases. Although pathology can be discriminating, TR should be confirmed by following CKs closely over a few days without immunosuppression and muscle biopsy only performed to confirm IMNM in patients with persistently elevated CKs.</div></div>","PeriodicalId":19135,"journal":{"name":"Neuromuscular Disorders","volume":"51 ","pages":"Article 105386"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vincenzo Russo , Alfredo Mauriello , Roberta Bottino , Antonio Giordano , Michal Marchel , Antonello D’Andrea , Théo Pezel , Gerardo Nigro , Santo Dellegrottaglie
{"title":"Prevalence and prognostic impact of cardiac resonance abnormalities in myotonic dystrophy patients","authors":"Vincenzo Russo , Alfredo Mauriello , Roberta Bottino , Antonio Giordano , Michal Marchel , Antonello D’Andrea , Théo Pezel , Gerardo Nigro , Santo Dellegrottaglie","doi":"10.1016/j.nmd.2025.105396","DOIUrl":"10.1016/j.nmd.2025.105396","url":null,"abstract":"<div><div>Myotonic dystrophy (DM) is an autosomal dominant inherited neuromuscular disorder characterized by progressive muscular weakness and multisystem involvement. Cardiac involvement is recorded in about 80 % of cases and often precedes the involvement of skeletal muscle. Cardiovascular magnetic resonance (CMR) has been recently included as a recommended test in the cardiac assessment of DM patients at the time of diagnosis, and subsequently with periodic testing. Our systematic review aims to describe the prevalence and prognosis of disease-related CMR abnormalities in DM patients.</div></div>","PeriodicalId":19135,"journal":{"name":"Neuromuscular Disorders","volume":"52 ","pages":"Article 105396"},"PeriodicalIF":2.7,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two-year Risdiplam treatment in adults with spinal muscular atrophy: improvements in motor and respiratory function, quality of life and fatigue","authors":"Louise Iterbeke , Kristl G. Claeys","doi":"10.1016/j.nmd.2025.105397","DOIUrl":"10.1016/j.nmd.2025.105397","url":null,"abstract":"<div><div>Disease-modifying treatments in spinal muscular atrophy (SMA) are emerging. Risdiplam (Evrysdi®) has shown promise in improving motor function in patients with SMA. However, long-term efficacy and safety data in adult SMA patients are limited. Eighteen treatment-naive adult patients with SMA types 2, 3, or 4 received Risdiplam for 24 months. Strength and motor function were assessed through manual muscle testing, hand grip strength, key and tip pinch strength, Motor Function Measure-32 (MFM-32), Revised Upper Limb Module (RULM), Functional Oral Intake Scale, and Neuromuscular Disease Swallowing Status Scale. Patient Reported Outcome Measures included SF-36 quality of life scale, Fatigue Severity Scale, Sydney Swallow Questionnaire, and SMA Independence Scale. Forced Vital Capacity (FVC) and Peak Expiratory Flow (PEF) were assessed over 24 months and analysed retrospectively. Motor function significantly improved, with MFM-32 scores increasing by 2.3 % and 2.6 % at 12 and 24 months (<em>p</em> < 0.01). RULM scores improved significantly only after 12 months (1 point; <em>p</em> = 0.02). FVC remained stable in Risdiplam-treated adult patients, deviating from the anticipated decline calculated from their retrospective data. PEF showed significant improvement after 24 months (6.9 %; <em>p</em> = 0.03). Improvements in quality of life were observed, along with a reduction in fatigue and dysphagia. The safety profile was favorable.</div></div>","PeriodicalId":19135,"journal":{"name":"Neuromuscular Disorders","volume":"52 ","pages":"Article 105397"},"PeriodicalIF":2.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}