Document Detail


Childhood MELAS syndrome presenting with seizure and cortical blindness: a case report.
MedLine Citation:
PMID:  9884447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 11-year-old boy presented with seizure and cortical blindness. A T1 weighted magnetic resonance image of the brain showed high signal intensity in the bilateral corpus striatum and long T1 and T2 changes in the bilateral occipital and cerebellar hemispheric regions. Increased cerebrospinal fluid lactate concentration of 56.7 mg/dl and blood lactate concentration of 34.2 mg/dl were also noted. A muscle biopsy obtained from the quadriceps femoris muscle showed the presence of ragged red fibers and mitochondrial DNA (mtDNA) analysis showed an A-->G mutation at nucleotide position 3243. MtDNA analysis of the patient's mother revealed the same mutation. These findings indicated MELAS syndrome (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes).
Authors:
A M Liu; S C Mak; C R Tsai; C S Chi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zhonghua yi xue za zhi = Chinese medical journal; Free China ed     Volume:  61     ISSN:  0578-1337     ISO Abbreviation:  Zhonghua Yi Xue Za Zhi (Taipei)     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-01-21     Completed Date:  1999-01-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0005327     Medline TA:  Zhonghua Yi Xue Za Zhi (Taipei)     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  730-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Tung General Hospital, Sha Lu, Taichung, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Blindness, Cortical / etiology*
Child
DNA, Mitochondrial / analysis
Humans
MELAS Syndrome / diagnosis*
Male
Seizures / etiology*
Chemical
Reg. No./Substance:
0/DNA, Mitochondrial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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