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Article

A Case Report of Mitochondrial Encephalomyopathy Misdiagnosed as Todd Paralysis

Yingli Zhang1, Yingying Zhou2, Wei Wang3, Wei Tang2,*

1Panjin Central Hospital, Panjin, Liaoning, China.

2Xinhua Hospital Affiliated to Dalian University, Dalian, China.

3Zhongshan Hospital Affiliated to Dalian University, Dalian, China.

*Corresponding author: Wei Tang

Published: 30 December 2022 How to cite this paper

Abstract

Mitochondrial encephalomyopathy with lacticacidosis and stroke-like syndrome episodes (MELAS)is a metabolic disease caused by mitochondrial structural and functional disorders caused by genemutations, resulting in abnormal oxidative phosphorylation and insufficient energy supply, which mainly affects brain and muscle tissues, the main clinical manifestations are mitochondrial myopathy, mitochondrial encephalopathy, epileptic seizure, cognitive and mental disorders, high lactate blood, muscle fatigue and weakness, stroke-like symptoms, etc. In the present case, the understanding of mitochondrial encephalomyopathy is inadequate, and it is easily confused with epilepsy, stroke and other diseases. It is not clear why certain genetic defects are particularly associated with seizures. Epilepsy may be a characteristic of mitochondrial disease, but is usually part of a multisystem clinical presentation. Mitochondrial epilepsy can be difficult to control and is often a feature of poor prognosis. For the moment, there is no cure for mitochondrial diseases. A case of MELAS syndrome misdiagnosed as acute ischemic stroke and Todd paralvsis is reported, and the related content is re-ported as follows.

KEYWORDS: MELAS syndrome, Status epilepticus, TODD paralysis, Acute ischemic stroke

References

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How to cite this paper

Yingli Zhang, Yingying Zhou, Wei Wang, Wei Tang. A Case Report of Mitochondrial Encephalomyopathy Misdiagnosed as Todd Paralysis. International Journal of Medicine Frontiers, 2022, 5(2), 37-41.


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