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Myasthenia Gravis: Diagnostic Tests01:15

Myasthenia Gravis: Diagnostic Tests

3.1K
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
3.1K
Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

3.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
3.4K
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

2.3K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
2.3K
Chemical Synapses01:26

Chemical Synapses

8.4K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
8.4K
Chemical Synapses01:26

Chemical Synapses

12.4K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
12.4K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

651
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
651

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Related Experiment Video

Updated: Mar 27, 2026

A Simple Approach to Induce Experimental Autoimmune Neuritis in C57BL/6 Mice for Functional and Neuropathological Assessments
07:30

A Simple Approach to Induce Experimental Autoimmune Neuritis in C57BL/6 Mice for Functional and Neuropathological Assessments

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The Guillain-Mollaret triangle in action.

Sheena Murdoch1, Pushkar Shah1, Ravi Jampana1

  • 1Neurology Department, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK.

Practical Neurology
|January 8, 2016
PubMed
Summary

Damage to the Guillain-Mollaret triangle can cause oculopalatal tremor. This condition, linked to inferior olivary nucleus hypertrophy, often doesn't respond to medical treatment.

Area of Science:

  • Neuroscience
  • Neurology
  • Neuroanatomy

Background:

  • The Guillain-Mollaret triangle involves the red nucleus, inferior olive, and dentate nucleus, forming the dentato-rubro-olivary pathway.
  • Pathology within this pathway can lead to disinhibition and hypertrophy of the inferior olivary nucleus.

Purpose of the Study:

  • To describe cases of oculopalatal tremor and/or olivary hypertrophy resulting from vascular insults to the Guillain-Mollaret triangle.
  • To highlight the clinical and imaging features associated with this neurological pathway disruption.

Main Methods:

  • Case series description.
  • Magnetic Resonance Imaging (MRI) analysis for olivary hypertrophy.
  • Clinical correlation of neurological symptoms.
Keywords:
ANATOMYMRINEUROOPHTHALMOLOGYNEURORADIOLOGY

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Main Results:

  • Three cases presented with oculopalatal tremor or MRI-confirmed olivary hypertrophy due to vascular lesions in the Guillain-Mollaret triangle.
  • Olivary hypertrophy can be mistaken for demyelination on imaging without clinical context.
  • Oculopalatal tremor can occur without current olivary hypertrophy due to atrophy over time.

Conclusions:

  • Vascular insults to the Guillain-Mollaret triangle can cause oculopalatal tremor and olivary hypertrophy.
  • Oculopalatal tremor may not always correlate with visible olivary hypertrophy and is unresponsive to current medical treatments.
  • Further research into cellular mechanisms is needed for developing targeted treatments.