Sunday 23 July 2017

Biondi ring tangles | NEET Based MCQ


Biondi ring tangles are seen in 

A. Lateral ventricle 
B. Cerebral cortex 
C. Lining of the choroid plexus 
D. Cerebellum

Ans. C. (Lining of the choroid plexus)
Explanation
• Biondi ring tangles are intracellular inclusions found in epithelial cells of choroid plexus cells of Alzheimers disease/aging brains
• They are homogenous globules covered with a thin layer of amyloid fibrils
• By electron microscopy these tangles are made of tightly packed bundles of long filaments with diameter around 10 nm that are morphologically distinct
• Pathological changes in choroid plexus in Alzheimer’s disease
1. Epithelial atrophy (↓cell size by 1/3)
2. Biondi ring tangles
3. Lipofuchsin vacuoles
4. Basement membrane thickening (3-fold t)
5. Stromal fibrosis

6. IgG and 1gM depositions