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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-8-19
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pubmed:abstractText |
A 19-year-old woman with long-standing sensorineural deafness, bilateral cataracts and mild clumsiness, presented with acute focal edema in the left temperoparieto-occipital area which required surgical decompression as a life-saving measure. Investigation revealed a persistent lactic acidemia and evidence of many ragged red fibres in a skeletal muscle biopsy specimen, suggesting a diagnosis of mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome. The patient developed two further stroke-like episodes over a short period. One sibling died at the age of 14 years with a progressive neurological illness characterised by seizures, bilateral optic atrophy, ataxia, myoclonus and progressive dementia. The diagnosis of MELAS syndrome should be considered in young people presenting with stroke-like episodes that fail to conform to a given vascular territory, particularly if they have long-standing minor neurological abnormalities or a family history of obscure early onset neurological disease. The different clinical pictures in the two affected siblings in this family suggest that MELAS syndrome is part of a spectrum of inherited mitochondrial cytopathies rather than a discrete disease entity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0004-8291
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
69-72
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3395302-Acidosis, Lactic,
pubmed-meshheading:3395302-Adult,
pubmed-meshheading:3395302-Brain Diseases,
pubmed-meshheading:3395302-Brain Edema,
pubmed-meshheading:3395302-Cerebrovascular Disorders,
pubmed-meshheading:3395302-Electrocardiography,
pubmed-meshheading:3395302-Female,
pubmed-meshheading:3395302-Humans,
pubmed-meshheading:3395302-Mitochondria, Muscle,
pubmed-meshheading:3395302-Muscular Diseases,
pubmed-meshheading:3395302-Syndrome,
pubmed-meshheading:3395302-Tomography, X-Ray Computed
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pubmed:year |
1988
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pubmed:articleTitle |
Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS): adolescent onset with severe cerebral edema.
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pubmed:affiliation |
St. Vincent's Hospital, Vic.
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pubmed:publicationType |
Journal Article,
Case Reports
|