Kearns-Sayre syndrome with reduced plasma and cerebrospinal fluid folate.

Abstract:

:A young woman with Kearns-Sayre syndrome and progressive central nervous system deterioration over 15 years had decreased plasma and cerebrospinal fluid folate levels while receiving phenytoin for a seizure disorder. A muscle biopsy showed a "ragged red fiber" myopathy with reduced muscle carnitine and mitochondrial enzymes. Computed tomographic brain scans showed cerebral white matter hypodensities and bilateral calcification of the basal ganglia. The mechanism for the folate deficiency and altered ratio of plasma to cerebrospinal fluid folate is unknown, but the deficiency may be responsive to replacement therapy.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Allen RJ,DiMauro S,Coulter DL,Papadimitriou A,Rothenberg SP

doi

10.1002/ana.410130620

subject

Has Abstract

pub_date

1983-06-01 00:00:00

pages

679-82

issue

6

eissn

0364-5134

issn

1531-8249

journal_volume

13

pub_type

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