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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.
[1] Abdullah H, Shah S, Husain H, Hassan F, Maqsood H. Lateonset Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) syndrome in a 63-year-old patient. Cureus, 2020, 12(4):e7862.
[2] Rare Diseases Society of Beijing Medical Association, Neuromuscular Group of Neurology Society of Beijing Medical Association, China Mitochondrial Disease Collaborative Group. Chinese expert consensus on diagnosis and treatment of mitochondrial encephalomyopathy with hyperlactic acidemia and stroke-like attacks [J]. Does the neurologist journal, 2020(3):171-178. The DOI: 10.3760 / cma. J. SSN. 1006-7876.2020.03.003.
[3] Xu WXZ, Wen JB, Sun C, et al. et al. Conventional and diffusional magnetic resonance imaging features of mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes in Chinese patients: a study of 40cases[J]. J Comput Assist Tomogr, 2018, 42(4): 510-516.
[4] Lee HN, Eom S, Kim SH, et al. Epilepsy characteristics and clinical outcome in patients with mitochondrial encephalomyopathy, lactic acidosis, And strokelike episodes (MELAS) [J]. J Pediatr Neurol, 2016, 64:5965. DOI: 10.1016 / j. pediatrneurol. 2016.08.016.
[5] Liu T, Liu Y Y, Bai Q. A case of mitochondrial encephalomyopathy misdiagnosed as cerebral infarction [J]. Stroke and Neuropathy, 2020, 27(3): 388-389. DOI:10.3969/ j.issn.1007-0478.2020.03.025.
[6] GOODFELLOW JA, DANI K, STEWART W. et al. The Mitochondrial myopathy, encephalopathy, 1 - acticacidosis and stroke - like episodes: an important cause of stroke in young people. Post-grad Med J, 2012, 88(1040):326.
[7] Schaffer S, Kim HW. Effects and mechanisms of taurine as a therapeutic agent [J]. Biomol Ther (Seoul), 2018, 26(3): 10.4062 DOI: 225241 / biomolther. 2017.251.
[8] Zhang Jining, Shi Xiangqun. Brain mitochondrial myopathy associated with high lactic acidosis and stroke onset of pathogenesis, diagnosis and treatment research progress [J]. International journal of neurology, neurosurgery, 2019 46-48(4): 455-460. DOI:10.16636 / j.carol carroll nki jinn. 2019.04.022.
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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