Basic Science › Neuropathology

Normal Histology

Normal Histology

What You'll Learn

  • The resident cells of the nervous system and how to recognize each
  • Normal appearance of every compartment you'll be shown — cortex, white matter, basal ganglia, cerebellum, brainstem, cord, nerve, muscle, vessels, meninges
  • The normal features that are easy to over-call as pathology (oligodendrocyte halos, corpora amylacea, neuromelanin)

What You'll Learn

CellAppearanceMarkerRole
NeuronLarge cell, open nucleus + prominent nucleolus, Nissl-rich cytoplasmNeuN, synaptophysin, NSEExcitable signaling cell; size/shape varies by region (pyramidal, Purkinje, motor)
AstrocyteStar-shaped; pale nucleus; processes to vessels (foot processes)GFAPHomeostasis, BBB, glial scar; reactive forms hypertrophy
OligodendrocyteSmall round nucleus, perinuclear clear halo (artifact); rows in white matterOlig2CNS myelination
MicrogliaSmall elongated (“rod”) nucleus; inconspicuous when restingCD68, Iba1Resident macrophage/immune surveillance
EpendymaCuboidal-columnar ciliated cells lining ventriclesGFAP, EMA (dot)Line ventricles/central canal

What You'll Learn

StructureNormal you must know
Cortex6 layers; pyramidal neurons III/V vulnerable
CerebellumMolecular / Purkinje (single row) / granular
HippocampusCA1 = Sommer sector, most hypoxia-vulnerable
Substantia nigraNeuromelanin-pigmented neurons (lost in PD)
Oligodendrocyte halo / corpora amylaceaNormal — do not over-call
MusclePolygonal fibers, peripheral nuclei, checkerboard I/II
Arachnoid cap cellsOrigin of meningioma
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