This report presents a familial amyotrophic lateral sclerosis (FALS) p
atient with widespread vacuoles and hyaline inclusions strongly immuno
stained with the anti-superoxide dismutase (SOD1) antibody. The overal
l pathologic similarity between our non-SOD1-linked FALS patient and t
ransgenic mice expressing a mutated human SOD1 gene suggests that comm
on pathogenetic mechanisms other than an SOD1 mutation exist in the de
velopment of these diseases.