2007
DOI: 10.1007/s00417-007-0603-8
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Electron microscopic findings in levator muscle biopsies of patients with isolated congenital or acquired ptosis

Abstract: Mitochondrial alterations were found in a surprisingly large proportion of levator biopsies from patients with isolated congenital or early-onset acquired ptosis. There was no statistically significant correlation between mitochondrial alterations and levator function. Our findings suggest that the ultrastructural assessment of mitochondria in the eyelid muscle is a valuable tool, and may guide further biochemical and mutation screening tests that will help to understand the etiopathology of this disease.

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Cited by 19 publications
(7 citation statements)
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“…Wabbels included EM examination for 24 patients with PEO, congenital ptosis, or early-onset acquired ptosis. 6 Findings in PEO patients were similar to those with other causes of ptosis. However, this study was limited by a lack of histological or molecular genetic data, and in this regard it is uncertain whether some or all of the patients with congenital or acquired ptosis may have also had a type of MM (or whether some of the PEO patients had been misdiagnosed).…”
Section: Table: Muscle Pathology and Genetic Testing Resultssupporting
confidence: 67%
“…Wabbels included EM examination for 24 patients with PEO, congenital ptosis, or early-onset acquired ptosis. 6 Findings in PEO patients were similar to those with other causes of ptosis. However, this study was limited by a lack of histological or molecular genetic data, and in this regard it is uncertain whether some or all of the patients with congenital or acquired ptosis may have also had a type of MM (or whether some of the PEO patients had been misdiagnosed).…”
Section: Table: Muscle Pathology and Genetic Testing Resultssupporting
confidence: 67%
“…1 although the levator muscles depend on oxidative phosphorylation to a lesser extent than other extraocular muscles, as they do not generate individual twitch contractions at an extremely high frequency. Recent studies using electron microscopy found no correlation between mitochondrial alterations and levator muscle function in patients with and without systemic mitochondriopathies [14]. Neuropathological findings in KSS have revealed spongy degeneration, neuronal loss, demyelination, gliosis and siderosis in the WM of basal ganglia and the brainstem [15], including the 3rd, 4th and 6th cranial nerve nuclei and the medial longitudinal fasciculus, the major internuclear connecting pathway [3].…”
Section: Discussionmentioning
confidence: 98%
“…The ultra-thin sections were stained with uranyl acetate and lead citrate, analyzed with a TEM and attached digital camera (TEM, JEM1400, Japan, GATAN, Germany). The length and width of mitochondria (at least 50 mitochondria per section) were measured with DigitalMicrograph (Gatan Inc., USA) software 6 , 59 , 60 .…”
Section: Methodsmentioning
confidence: 99%