Mitochondrial DNA 3252A>G mutation presenting as MERRF/MELAS overlapping syndrome: A case report

被引:0
作者
Tan, Yin Yin [1 ]
Tee, Ting Yoong [1 ]
Chew, Farn Ye [1 ]
Kok, Huey Tean [1 ]
Rani, Nor Haizura Binti Abd [3 ]
Ngu, Lock Hock [2 ]
Viswanathan, Shanthi [1 ]
机构
[1] Hosp Kuala Lumpur, Dept Neurol, Jalan Pahang, Kuala Lumpur 50586, Malaysia
[2] Hosp Kuala Lumpur, Dept Genet, Kuala Lumpur, Malaysia
[3] Hosp Kuala Lumpur, Dept Pathol, Kuala Lumpur, Malaysia
关键词
Myoclonic epilepsy with ragged red fibers (MERRF); Mitochondrial encephalomyopathy; lactic acidosis and stroke-like episodes (MELAS); point mutation m.3252A>G; mitochondrial DNA; POINT MUTATION; MELAS;
D O I
10.54029/2023tzs
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a case of 25 years old male presented with a complex phenotype of myoclonic epilepsy with ragged red fibers (MERRF) and mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) harbouring m.3252A>G mutation in the mitochondrially encoded tRNA leucine 1 (UUA/G) [MT-TL1] gene encoding the mitochondrial transfer ribonucleic acid (tRNA) for leucine. He presented with frequent myoclonus seizure, stroke-like episodes, elevated blood lactate with muscle biopsy showed numerous ragged-red fibers suggestive of a mitochondrial disorder. Whole mitochondrial genome sequencing revealed no mutations other than the A-to-G transition at nucleotide position 3252. This case report is the first to describe the m.3252A>G mutation in association with the MERRF/MELAS overlap syndrome.
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页码:1073 / 1076
页数:4
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