DIFFUSE LEUKODYSTROPHY WITH A LARGE-SCALE MITOCHONDRIAL-DNA DELETION

被引:31
作者
NAKAI, A [1 ]
GOTO, Y [1 ]
FUJISAWA, K [1 ]
SHIGEMATSU, Y [1 ]
KIKAWA, Y [1 ]
KONISHI, Y [1 ]
NONAKA, I [1 ]
SUDO, M [1 ]
机构
[1] NATL CTR NEUROL & PSYCHIAT,NATL INST NEUROSCI,DIV ULTRASTRUCT RES,KODAIRA 187,TOKYO,JAPAN
关键词
D O I
10.1016/S0140-6736(94)92527-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An 8-year-old girl with progressive ataxia and bulbar palsy showed diffuse white-matter lesions in the occipital to parietal lobes on magnetic resonance imaging. Since she had slightly elevated lactate in the cerebrospinal fluid, a muscle biopsy was done which revealed scattered ragged-red fibres and focal cytochrome c oxidase deficiency. Southern blot and polymerase-chain-reaction analyses revealed a large-scale mitochondrial DNA deletion, which was 6990 base-pairs in length with 6 base-pair (-TCATCG-) direct repeats at the junctions. Mitochondrial DNA mutation should be considered as one of the candidate causes for diffuse leukodystrophy in children.
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页码:1397 / 1398
页数:2
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