摘要: |
线粒体脑肌病伴乳酸中毒和卒中样发作(Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ,MELAS)综合征于1984年首次报道,是由线粒体DNA(mtDNA)突变引起最常见的线粒体脑肌病的一种临床分型,为母系遗传,可表现为反复发作的头痛、卒中样发作、多种类型的癫痫发作和发育异常、听力下降等[1]。本文回顾性分析1例MELAS 综合征并癫痫发作,结合文献复习进一步探讨该病的发病机制,MELAS早期诊断和治疗提供理论指导。 |
关键词: 线粒体脑肌病伴乳酸中毒和卒中样发作综合征,临床表现,基因检测 |
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Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes : a case report and literature review. |
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Affiliated Hospital of Yanbian University
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Abstract: |
MELAS syndrome was first reported in 1984. It is a clinical typing of the most common mitochondrial encephalomyopathy caused by mtDNA mutation. It is maternal inheritance. It can be manifested as recurrent headache, stroke-like seizures, multiple types of epileptic seizures and developmental abnormalities, hearing loss, etc [1]. A case of MELAS syndrome with epileptic seizures was retrospectively analyzed. The pathogenesis of MELAS was further discussed with literature review. The early diagnosis and treatment of MELAS provided theoretical guidance. |
Key words: Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ,Clinical manifestation,Gene detection |