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NEUROLOGY 1982;32:880
© 1982 American Academy of Neurology

Involvement of the Onuf nucleus in Werdnig-Hoffmann disease

S. M. Chou, M.D., Ph.D., S. Kuzuhara, M.D. and I. Nonaka, M.D.

Department of Pathology (Drs. Chou and Kuzuhara), Cleveland Clinic Foundation, Cleveland, OH, and the Department of Pathology and Neurology (Dr. Nonaka), West Virginia University Medical Center, Morgantown, WV.

Contrary to contention that Onuf nucleus is spared in Werdnig-Hoffmann disease (WHD) as it is in ALS, we found central chromatolysis in the Onuf neurons of the sacral cord from all five WHD patients. They were less depopulated but the central chromatolysis appeared more frequently than in anterior motor neurons. In contrast, the sacral autonomic neurons were not affected in any of the five cases. This argues against the view that the Onuf nucleus is autonomic and is spared with other autonomic neurons.

Address correspondence and reprint requests to Dr. Chou, Department of Pathology, Cleveland Clinic Foundation, Cleveland, OH 44106.

Accepted for publication January 12, 1982.




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