Late-onset Leigh syndrome with myoclonic epilepsy with ragged-red fibers.

Abstract:

:We report the case of a boy with myoclonic epilepsy with ragged-red fibers (MERRF) who had astatic seizures since 2 years of age and later developed ataxia, absence seizures, and myoclonus. Almost homoplasmic A8344G mutation of mitochondrial DNA (m.8344A>G mutation) was detected in lymphocytes. He developed late-onset Leigh syndrome (LS) when he contracted pneumonia at 6 years. He developed bulbar palsy and deep coma. MRI demonstrated lesions in the brainstem, basal ganglia, and cerebral cortex. Three similar cases have been reported; two carried the almost-homoplasmic m.8344A>G mutation in muscle tissue. These suggested that almost homoplastic m.8344A>G mutation developed clinical phenotype of MERRF in the early stage and late-onset Leigh syndrome in the late course of the disease.

journal_name

Brain Dev

journal_title

Brain & development

authors

Monden Y,Mori M,Kuwajima M,Goto T,Yamagata T,Momoi MY

doi

10.1016/j.braindev.2012.08.006

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

582-5

issue

6

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(12)00215-X

journal_volume

35

pub_type

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