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NEUROLOGY 1986;36:404
© 1986 American Academy of Neurology

Shy-Drager syndrome

Neuronal loss depends on size, function, and topography in ventral spinal outflow

Gen Sobue, MD, Yoshio Hashizume, MD, Masahiro Ohya, MD and Akira Takahashi, MD

Division of Neurology (Drs. Sobue and Ohya), Fourth Department of Internal Medicine, Aichi Medical University, Nagakute, Aichi, Japan; the First Department of Pathology (Dr. Hashizume), and the Department of Neurology (Dr. Takahashi), Nagoya University School of Medicine, Tsurumai, Shows, Nagoya, Japan.

We analyzed myelinated fibers and neurocytons in the ventral spinal outflow of patients with Shy-Drager syndrome. Axonal loss occurred predominantly in thin, myelinated fibers that correspond mainly to autonomic preganglionic axons. Intermediate and large myelinated fibers, mainly gamma and alpha axons, were also involved, but to a lesser degree. Neuronal and axonal loss was more prominent in caudal segments and less in rostral segments. Axonal degeneration in single teased fibers was seen frequently in ventral spinal roots.

Address correspondence and reprint requests to Dr. Sobue, Division of Neurology, Fourth Department of Internal Medicine, Aichi Medical University, Yazako 21, Nagakute, Aichi, 480-11 Japan.

Accepted for publication August 8, 1985.




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