De Freitas M R, Nascimento O J
Arq Neuropsiquiatr. 1976 Mar;34(1):81-8. doi: 10.1590/s0004-282x1976000100009.
The cases of three brothers with proximal weakness and muscles atrophies beginning in childhood are reported. Muscles biopsies and electromyographic studies have shown neurogenic pattern of atrophy and a dystrophy-like picture. It is concluded that this histological and eletromyographic picture can occur in pure partial denervation of long standing. The histopathologic study of the spinal cord of one patient revealed degenerative changes and loss of anterior horn ganglion cells. This is the fourth case of Wohlfar-Kugelberg-Welander disease with postmortem examination.
报告了三兄弟自童年起出现近端肌无力和肌肉萎缩的病例。肌肉活检和肌电图研究显示为神经源性萎缩模式以及类似营养不良的表现。得出的结论是,这种组织学和肌电图表现可发生于长期存在的单纯部分失神经状态。对一名患者的脊髓进行组织病理学研究发现有退行性改变以及前角神经节细胞缺失。这是第四例经尸检的沃夫拉-库格尔伯格-韦兰德病病例。