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Abstract
Onuf's nucleus of the second sacral spinal cord level was examined in twelve patients
with sporadic amyotrophic lateral sclerosis (ALS). Under light-microscopic examination,
the neurons of Onuf's nucleus were well-preserved in contrast with the severe neuronal
depletion of the anterior horn cells. Ultrastructurally, however, substantial pathological
changes such as Bunina bodies (BB), randomly arranged filaments associated with fine
granules corresponding to Lewy body-like hyaline inclusions (LBHI) and bundles of
tubular filaments corresponding to skein-like inclusions (SI) all of which are characteristic
features of ALS, were demonstrated ubiquitously in the Onuf's nucleus in eleven of
twelve patients. These changes may be of a reactive nature and represent an initial
change of neuronal degeneration, since no definite cell destruction was observed in
the nucleus. The changes in the Onuf's nucleus correlated with the changes observed
in the anterior horns, although to a lesser degree. The more BB, LBHI and SI were
observed in the anterior horns of patients with ALS, the more these inclusions were
observed in Onuf's nucleus. Thus, we conclude that Onuf's nucleus is also affected
by pathological changes in ALS.
Keywords
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Article info
Publication history
Accepted:
March 15,
1993
Received in revised form:
March 8,
1993
Received:
August 31,
1992
Identification
Copyright
© 1993 Published by Elsevier Inc.