Epilepsia partialis continua associated with NADH-coenzyme Q reductase deficiency.

Abstract:

:We report the clinical, neuroradiological and biochemical features of a patient with epilepsia partialis continua (EPC). MRI studies disclosed multiple cortico-subcortical areas of abnormal signal intensity. The activity of complex I of the mitochondrial respiratory chain was markedly reduced in skeletal muscle. The biochemical defect was reflected in vivo by a failure of brain and skeletal muscle bioenergetics, as shown by exercise and phosphorus magnetic resonance spectroscopy (31P-MRS) studies. Muscle morphology was repeatedly normal, and molecular genetic analysis of mitochondrial DNA was not informative. On the basis of in vivo and in vitro findings, the observed defect of the mitochondrial respiratory chain was considered the underlying biochemical pathogenesis of the disease. The observation of an oxidative defect in the brain and skeletal muscle of a patient with EPC emphasizes the importance of studying mitochondrial energy metabolism in patients with EPC not associated with primary CNS lesions when clinical and morphological findings suggesting a mitochondrial disorder are lacking. 31P-MRS can be a useful method to uncover deficits of CNS mitochondrial function and provide the indication for further biochemical studies.

journal_name

J Neurol Sci

authors

Antozzi C,Franceschetti S,Filippini G,Barbiroli B,Savoiardo M,Fiacchino F,Rimoldi M,Lodi R,Zaniol P,Zeviani M

doi

10.1016/0022-510x(94)00267-r

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

152-61

issue

2

eissn

0022-510X

issn

1878-5883

pii

0022510X9400267R

journal_volume

129

pub_type

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