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The Onuf's nucleus and the external anal sphincter muscles in amyotrophic lateral sclerosis and Shy-Drager syndrome

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Summary

The anterior sacral horns and external anal sphincter muscle were examined histologically with special reference to Onuf's nucleus in amyotrophic lateral sclerosis (ALS) and Shy-Drager syndrome. Onuf's nucleus and the external anal sphincter muscles were well preserved in ALS, but in Shy-Drager syndrome both structures showed marked degenerative changes. These findings suggest that Onuf's nucleus does not belong to the autonomic neurons, but to the motoneurons in anterior sacral horn, and it innervates the external sphincter muscles of the anus and urethra.

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References

  1. Castaigne P, Lhermitte F, Cambier J, Escourolle R, Le Bigot P (1972) Etude neuropathologique de 61 observations de sclérose latérale amyotrophique. Discussion nosologique. Rev Neurol (Paris) 127:401–414

    Google Scholar 

  2. Iwata M, Hirano A (1978) Sparing of the Onufrowicz nucleus in sacral cord anterior lesions. Ann Neurol 4:245–249

    Google Scholar 

  3. Iwata M, Hirano A (1979) Current problems in pathology of amyotrophic lateral sclerosis. In: Zimmerman HM (ed) Progress in neuropathology, vol 4. Raven Press, New York, pp 277–298

    Google Scholar 

  4. Kuzuhara S (1979) Localization of sacral spinal neurons innervating the perineal muscles — A HRP study in dog. Clin Neurol 19:704–711

    Google Scholar 

  5. Kuzuhara S, Kanazawa I, Nakanishi T (1980) Topographical localization of the Onuf's nuclear neurons innervating the rectal and vesical striated sphincter muscles: a retrograde fluorescent double labeling in cat and dog. Neurosci Lett 16:125–130

    Google Scholar 

  6. Lawyer T Jr, Netsky MG (1953) Amyotrophic lateral sclerosis. A clinicoanatomic study of fifty-three cases. Arch Neurol Psychiatry 69:171–192

    Google Scholar 

  7. Mannen T, Iwata M, Toyokura Y, Nagashima K (1975) Pathology of anterior horn of the sacral cord in cases of amyotrophic lateral sclerosis and its clinical significance. Neurol Med (Tokyo) 3:169–175

    Google Scholar 

  8. Mannen T, Iwata M, Toyokura Y, Nagashima K (1977) Preservation of a certain motoneurone group of the sacral cord in amyotrophic lateral sclerosis: its clinical significance. J Neurol Neurosurg Psychiatry 40:464–469

    Google Scholar 

  9. Mannen T, Iwata M, Toyokura Y, Nagashima K (1978) Note on a certain motoneuron group of the sacral cord in ALS and the Shy-Drager syndrome. In: Tsubaki T, Toyokura Y (eds) Amyotrophic lateral sclerosis. Proceedings of the International Symposium on Amyotrophic Lateral Sclerosis. University of Tokyo Press, Tokyo, pp 201–207

    Google Scholar 

  10. Mannen T, Iwata M, Toyokura Y (1979) Neuropathological study of the Onufrowicz nucleus and the analy sphincter muscles in amyotrophic lateral sclerosis and the Shy-Drager syndrome. Clin Neurol 19:125–132

    Google Scholar 

  11. Nagashima T, Beppu H, Uono M, Yamada H (1979) Demonstration of neuronal localization in Onufrowicz's group X in rabbit by double labeling method. Acta Histochem Cytochem 12:405–415

    Google Scholar 

  12. Onuf[Onufrowicz] B (1999) Notes on the arrangement and function of the cell groups in the sacral region of the spinal cord. J Nerv Ment Dis 26:498–504

    Google Scholar 

  13. Onuf[Onufrowicz] B (1900) On the arrangement and function of the cell groups of the sacral region of the spinal cord in man. Arch Neurol Psychopathol 3:387–412

    Google Scholar 

  14. Patten BM (1968) The muscular system. In: Human embryology, 3rd edn. McGraw-Hill, New York Toronto Sydney London, pp 248–250

    Google Scholar 

  15. Roessmann U (1975) Primary orthostatic hypotension. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 22, part 2. North-Holland, Amsterdam, pp 231–242

    Google Scholar 

  16. Sakuta M, Nakanishi T, Toyokura Y (1978) Anal muscle electromyograms differ in amyotrophic lateral sclerosis and Shy-Drager syndrome. Neurology (Minneap) 28:1289–1293

    Google Scholar 

  17. Sato M, Mizuno N, Konishi A (1978) Localization of motoneurons innervating perineal muscles: a HRP study in cat. Brain Res 140:149–154

    Google Scholar 

  18. Shy GM, Drager GA (1960) A neurological syndrome associated with orthostatic hypotension. A clinical-pathologic study. Arch Neurol 2:511–527

    Google Scholar 

  19. Sung JH (1979) Autonomic neurons affected by lipid storage in the spinal cord in Fabry's disease; distribution of autonomic neurons in the sacral cord. J Neuropathol Exp Neurol 38:87–98

    Google Scholar 

  20. Sung JH, Mastri AE, Segal E (1979) Pathology of Shy-Drager syndrome. J Neuropathol Exp Neurol 38:353–368

    Google Scholar 

  21. Sung JH, Mastri AE (1980) Spinal autonomic neurons in Werdnig-Hoffmann disease, mannosidosis, and Hurler's syndrome: distribution of autonomic neurons in the sacral spinal cord. J Neuropathol Exp Neurol 39:441–451

    Google Scholar 

  22. Tabira T, Namikawa T, Goto I, Kuroiwa Y (1980) Fabry's disease with special reference to EMG findings of external sphincters, Onuf's nucleus, anhydrosis and sweat gland. Autonom Nerv Syst (Tokyo) 17:346–351

    Google Scholar 

  23. Tomonaga M (1977) Morphological changes in the autonomic nervous system of Shy-Drager syndrome. Autonom Nerv Syst (Tokyo) 14:67–75

    Google Scholar 

  24. Toyokura Y (1977) Amyotrophic lateral sclerosis. A clinical and pathological study on the “negative features” of the disease. Jpn J Med (Tokyo) 16:269–273

    Google Scholar 

  25. Warwick R, Williams PL (1973) Splanchnology 8. In: Gray's anatomy, 35th edn. Longman, London, p 1333

    Google Scholar 

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Supported by a grant for Scientific Research from the Ministry of Education of Japan

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Mannen, T., Iwata, M., Toyokura, Y. et al. The Onuf's nucleus and the external anal sphincter muscles in amyotrophic lateral sclerosis and Shy-Drager syndrome. Acta Neuropathol 58, 255–260 (1982). https://doi.org/10.1007/BF00688606

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  • DOI: https://doi.org/10.1007/BF00688606

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