Distal Myopathy with Rimmed Vacuoles and Cerebellar Atrophy

Hajnalka MERKLI, Endre PÁL, István GÁTI, József CZOPF

Department of Neurology, Faculty of Medicine, University of Pécs, Pécs, Hungary


Distal myopathies constitute a clinically and pathologically heterogeneous group of genetically determined neuromuscular disorders, where the distal muscles of the upper or lower limbs are affected. The disease of a 41-year-old male patient started with gait disturbances, when he was 25. The progression was slow, but after 16 years he became seriously disabled. Neurological examination showed moderate to severe weakness in distal muscles of all extremities, marked cerebellar sign and steppage gait. Muscle biopsy resulted in myopathic changes with rimmed vacuoles. Brain MRI scan showed cerebellar atrophy. This case demonstrates a rare association of distal myopathy and cerebellar atrophy. Pathology & Oncology Research, Vol 12, Nr 2, 115-117, 2006

Key words: ataxia; cerebellar atrophy; distal myopathy; rimmed vacuole

Received: Nov 15, 2005; accepted: Feb 21, 2006
Correspondence: Endre PÁL, Department of Neurology, Faculty of Medicine, University of Pécs, Rét u.2., Pécs H-7623, Hungary; Tel: 36-72-535-900, Fax: 36-72-535-911; E-mail:

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