case_images: PMC6549484_01
case_images: H&E stain revealed atrophic fibers of round or angular shapes that arranged in small and large groups with hypertrophied fibers. Fascicular atrophy was seen. Nuclear clumps were noted.
case_images: IMCRJ-12-155-g0001.jpg
case_images: PMC6549484_01_IMCRJ-12-155-g0001.jpg
case_images: F0001
case_images: Moreover, a muscle biopsy of left Biceps brachii was obtained using an open technique (Figures 1 and 2); Histo-pathological examination confirmed a neuropathic pattern with muscle atrophy of mainly type-II fibers, with concomitant denervation and reinnervation processes.
case_images: ATPase reaction PH 4.35 revealed fiber type grouping with type-I fibers predominance. Atrophic fibers are mostly type-II.
case_images: IMCRJ-12-155-g0002.jpg
case_images: PMC6549484_01_IMCRJ-12-155-g0002.jpg
case_images: F0002
case_images: Moreover, a muscle biopsy of left Biceps brachii was obtained using an open technique (Figures 1 and 2); Histo-pathological examination confirmed a neuropathic pattern with muscle atrophy of mainly type-II fibers, with concomitant denervation and reinnervation processes.
case_images: Recorded EEG in the patient, It was recorded by bipolar setting, with sensitivity of 150 microvolt, high frequency filter of 70 Hz and low frequency filter of 1 Hz.There are generalized epileptiform 2.5-3 Hz irregular sharp and slow wave complexes.
case_images: IMCRJ-12-155-g0003.jpg
case_images: PMC6549484_01_IMCRJ-12-155-g0003.jpg
case_images: F0003
case_images: Both sleep and awake phases were recorded that has been presented in Figure 3.