Late-onset Mitochondrial Encephalomyopathy with Lactic Acidosis and Stroke-like Episodes (MELAS) Syndrome in a 63-year-old Patient

被引:5
作者
Abdullah, Hassan [1 ,2 ]
Shah, Syed [3 ]
Husain, Humza [4 ]
Hassan, Furqan [1 ]
Maqsood, Hamza [3 ]
机构
[1] Nishtar Med Univ, Med, Multan, Pakistan
[2] Univ Alabama Birmingham, Neurol, Birmingham, AL 35294 USA
[3] Nishtar Med Univ, Nishtar Hosp, Med, Multan, Pakistan
[4] Nishtar Med Univ, Internal Med, Multan, Pakistan
关键词
melas; stroke; myopathy; encephalopathy; lactic acidosis; seizures; mri; mitochondrial dna mutation; ENCEPHALOPATHY; FEATURES; MYOPATHY;
D O I
10.7759/cureus.7862
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) usually manifests in early life. Clinical hallmarks of the disease are mitochondrial myopathies, encephalopathy with stroke-like episodes, seizures, and lactic acidosis. It rarely manifests in late adulthood. Here we present the case of a 63-year-old female patient who developed recurrent stroke-like symptoms with typical resolving and remitting pattern of findings on imaging. Later on, it was confirmed as a case of MELAS upon genetic analysis.
引用
收藏
页数:7
相关论文
共 11 条
  • [1] The imaging spectrum of posterior reversible encephalopathy syndrome: A pictorial review
    Brady, Emily
    Parikh, Neal S.
    Navi, Babak B.
    Gupta, Ajay
    Schweitzer, Andrew D.
    [J]. CLINICAL IMAGING, 2018, 47 : 80 - 89
  • [2] CASTILLO M, 1995, AM J NEURORADIOL, V16, P233
  • [3] Geberhiwot T, 2006, NEW ENGL J MED, V354, P1096
  • [4] Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS) Syndrome Mimicking Herpes Simplex Encephalitis on Imaging Studies
    Gieraerts, Christopher
    Demaerel, Philippe
    Van Damme, Philip
    Wilms, Guido
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2013, 37 (02) : 279 - 281
  • [5] Imaging of MELAS
    Malhotra, Konark
    Liebeskind, David S.
    [J]. CURRENT PAIN AND HEADACHE REPORTS, 2016, 20 (09)
  • [6] A neurological perspective on mitochondrial disease
    McFarland, Robert
    Taylor, Robert W.
    Turnbull, Douglass M.
    [J]. LANCET NEUROLOGY, 2010, 9 (08) : 829 - 840
  • [7] MELAS SYNDROME - CHARACTERISTIC MIGRAINOUS AND EPILEPTIC FEATURES AND MATERNAL TRANSMISSION
    MONTAGNA, P
    GALLASSI, R
    MEDORI, R
    GOVONI, E
    ZEVIANI, M
    DIMAURO, S
    LUGARESI, E
    ANDERMANN, F
    [J]. NEUROLOGY, 1988, 38 (05) : 751 - 754
  • [8] MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC-ACIDOSIS, AND STROKELIKE EPISODES - A DISTINCTIVE CLINICAL SYNDROME
    PAVLAKIS, SG
    PHILLIPS, PC
    DIMAURO, S
    DEVIVO, DC
    ROWLAND, LP
    [J]. ANNALS OF NEUROLOGY, 1984, 16 (04) : 481 - 488
  • [9] Diagnosis of adult-onset MELAS syndrome in a 63-year-old patient with suspected recurrent strokes - a case report
    Sinnecker, Tim
    Andelova, Michaela
    Mayr, Michael
    Ruegg, Stephan
    Sinnreich, Michael
    Hench, Juergen
    Frank, Stephan
    Schaller, Andre
    Stippich, Christoph
    Wuerfel, Jens
    Bonati, Leo H.
    [J]. BMC NEUROLOGY, 2019, 19 (1)
  • [10] Neuroradiological features of six kindreds with MELAS tRNALeu A3243G point mutation:: implications for pathogenesis
    Sue, CM
    Crimmins, DS
    Soo, YS
    Pamphlett, R
    Presgrave, CM
    Kotsimbos, N
    Jean-Francois, MJB
    Byrne, E
    Morris, JGL
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 65 (02) : 233 - 240