Amyotrophic lateral sclerosis (ALS) Central chromatolysis has been observed in spinal
anterior horn and motor neurons of patients with
amyotrophic lateral sclerosis (ALS). Patients with ALS appear to have significant alterations that occur within the chromatolyzed neuronal cells. These alterations include dense conglomerates of aggregated dark mitochondria and
presynaptic vesicles, bundles of
neurofilaments, and a marked increase of presynaptic vesicles. Changes to the function of the motor neurons have also been observed. The most typical functional change in chromatolytic motor neurons is the significant reduction in size of the monosynaptic
excitatory postsynaptic potentials (EPSPs). These monosynaptic EPSPs also seem to be prolonged in the chromatolyzed cells of ALS patients. This functional change to the anterior horn neurons could result in the elimination of certain excitatory synaptic inputs and thus give rise to the clinical motor function impairment that is characteristic of the ALS disease. Most recent studies have observed chromatolysis in cells from rats that have been subjected to either copper or aluminum toxication, which are both hypothesized to be involved in the pathogenesis of Alzheimer's disease.
Idiopathic brainstem neuronal chromatolysis Severe neuronal chromatolysis has been detected in the brainstems of adult cattle with the neurodegenerative condition known as idiopathic brainstem neuronal chromatolysis (IBNC). The symptoms of IBNC in cattle are clinically similar to those characterized by
bovine spongiform encephalopathy, otherwise known as mad-cow disease. These symptoms included tremor, lack of muscle movement coordination, anxiety and weight loss. At the cellular level, IBNC is marked by the degeneration of neurons and axons within the
brainstem and
cranial nerves. The disease also has a significant correlation with abnormal labeling for
prion protein (PrP) in the brain. IBNC has been characterized by severe neuronal,
axonal, and
myelin degradation, accompanied by non-supportive inflammation and changes in spongiform of various regions of grey matter. A significant loss of neurons due to hippocampal degeneration has also been observed. The degenerate chromatolysis neurons seldom showed intracytoplasmic labeling for PrP.
Alcoholic encephalopathy Chromatolysis has been reported in patients with alcoholic encephalopathies. Central chromatolysis was observed mainly among neurons in the brainstem, particularly in the pontine nuclei and the cerebellar dentate nuclei. Nuclei of cranial nerves, arcuate nuclei, and posterior horn cells were also affected. Studies examining patients with alcoholic encephalopathies give evidence of central chromatolysis. Mild to severe degeneration of spinal cord tracks has been observed in patients with
Marchiafava–Bignami disease and
Wernicke–Korsakoff syndrome, both forms of encephalopathy linked to alcohol. ==Future research==