Bunina body‐like eosinophilic intracytoplasmic inlusions in a gangliocytomatous brain lesion

Abstract

Small, round eosinophilic intracytoplasmic inclusions jin the constituent neuronal cells of a gangliocytomatous nodule found in a temporal lobe glioneuronal lesion of a 17‐year‐old boy with intractable complex ipartial seizures is described. These inclusions, measuring several micrometers in diameter, were often multiple in the neuronal cells, forming clusters with a bead‐ or ribbon‐like appearance. Characteristically, they often showed clear areas within them. An ultrastuctural study using selected light microscopic sections revealed that they were electron dense, granular structures with or without fingerprints‐like multilamellar profiles, and often contained a number of translucent inner areas. These inclusions with and without fingerprint‐like multilamellar profiles appeared to be similar to the previously described multilamellar inclusions and Bunina bodies, respectively. The present finding is of great interest when considering that Bunina bodies are a pathological hallmark of amlyotrophic lateral sclerosis (ALS) and that in some patients with ALS, the concurrence of multilamellar inclusions and Bunina bodies in the same neurons has been described.