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

被引：0
|
作者：
Shibata, Ken-ichi [1 ]
Mukai, Tatsuya [1 ]
Nakagaki, Hideaki [1 ]
Nagano, Sukehisa [1 ]
机构：
[1] Fukuoka City Hosp, Dept Neurol, Fukuoka, Japan
来源：
NEUROLOGY AND CLINICAL NEUROSCIENCE | 2022年 / 10卷 / 05期
关键词：
atypical stroke-like lesions; m. 3271 T > C; MELAS; small cortical lesions; stroke-like episodes;
D O I：
10.1111/ncn3.12655
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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.
引用
收藏
页码：259 / 261
页数：3
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