J Neurol Neurosurg Psychiatry 1998;65:488-491 ( October )
Spinal corpora amylacea and motor neuron disease: a quantitative
study
J B Cavanagh
Department of Clinical
Neurosciences, Institute of Psychiatry and King's College School of
Medicine and Dentistry, London SE5 8AF, UK
Received 9 February 1998 and in revised form 15 April 1998;
Accepted 23 April 1998
OBJECTIVE
To test the hypothesis that as there is
growing evidence that corpora amylacea, or amyloid bodies, in the CNS
are derived primarily from neurons, it might be expected that their
numbers in the spinal cord would decline with loss of neurons in motor neuron degeneration as they do in the retina on destruction of ganglion
cells by glaucoma.
METHODS
The numbers of corpora amylacea were
counted in PAS stained transverse sections of the lumbar cord from 27 patients with motor neuron disease and 21 control subjects of similar
age and sex mix. The numbers and sizes of corpora amylacea were
determined both in the anterior horn grey matter and in the
submeningeal white matter regions in each case.
RESULTS
In both groups the total numbers in the
white matter and submeningeal regions ranged from 160 to more than
5000/section and there was minimal significant difference between the
two groups. No relation with age was found in this narrow age range.
The mean diameters of the corpora amylacea were significantly less in
the grey matter of both groups than in the submeningeal regions.
However, their densities in the grey matter of the anterior horn were
significantly reduced in the spinal cord sections in the motor neuron
disease group, but only where few motor neurons remained.
CONCLUSIONS
These findings support the view that
corpora amylacea may arise from neurons, and suggest that that there
may be two compartments, one mobile and one static, the second most
likely remaining in the periphery of the spinal cord for prolonged periods.
Keywords:
corpora amylacea, polyglucosan bodies, spinal
cord, motor neuron disease
© 1998 by Journal of Neurology, Neurosurgery, and Psychiatry