Neurogenic muscle hypertrophy. Report of two cases

J Neurol. 1989 Jul;236(5):292-5. doi: 10.1007/BF00314459.

Abstract

Muscle hypertrophy is rare in denervating diseases. A patient with calf enlargement associated with L5-S1 radiculopathy and another with thenar, hypothenar, forearm and calf muscle hypertrophy in the course of chronic relapsing inflammatory demyelinating polyneuropathy are described. Gastrocnemius muscle biopsy revealed both type I and type II fibre hypertrophy in the former case and predominant type I fibre hypertrophy in the latter. Passive stretching and abnormal spontaneous muscular activity might have played a role in the origin of hypertrophy in both patients, but a satisfactory explanation for denervation hypertrophy has yet to be provided.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Humans
  • Hypertrophy
  • Male
  • Middle Aged
  • Muscles / pathology*
  • Muscular Diseases / pathology*