Disseminated small cortical lesions of stroke‐like episodes in a patient with MELAS with an m.3271T>C mutation

Little is known about magnetic resonance imaging findings in patients with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke‐like episodes (MELAS) with the m.3271 A > G mutation. A 31‐year‐old man presented with headache and left‐sided homonymous hemianopsia. Brain magnetic reso...

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Veröffentlicht in:Neurology and clinical neuroscience 2022-09, Vol.10 (5), p.259-261
Hauptverfasser: Ken‐ichi Shibata, Mukai, Tatsuya, Nakagaki, Hideaki, Nagano, Sukehisa
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container_issue 5
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container_title Neurology and clinical neuroscience
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creator Ken‐ichi Shibata
Mukai, Tatsuya
Nakagaki, Hideaki
Nagano, Sukehisa
description Little is known about magnetic resonance imaging findings in patients with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke‐like episodes (MELAS) with the m.3271 A > G mutation. A 31‐year‐old man presented with headache and left‐sided homonymous hemianopsia. Brain magnetic resonance imaging showed hyperintensities in the right occipital lobe on diffusion‐ and T2‐weighted imaging. MELAS was diagnosed, and the etiological mutation was identified as m.3271 T > C. Although his symptoms gradually resolved, magnetic resonance imaging revealed disseminated small cortical lesions in the left occipital lobe. We report a rare case of atypical stroke‐like lesions in a patient with MELAS with the m.3271 T > C mutation.
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source Wiley Online Library Journals Frontfile Complete
subjects Acidosis
Encephalopathy
Lactic acidosis
Lesions
Magnetic resonance imaging
MELAS syndrome
Mitochondria
Mutation
Myopathy
Neuroimaging
Occipital lobe
title Disseminated small cortical lesions of stroke‐like episodes in a patient with MELAS with an m.3271T>C mutation
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