Analysis on clinical phenotype and gene mutation of progressive myoclonic epilepsy: one case report.

Objective To investigate the features of clinical phenotype and gene mutation of progressive myoclonic epilepsy (PME). Methods and Results The main clinical features of a 43-year-old man were photosensitive seizures, progressive cerebellar ataxia and peripheral neuropathy. Skeletal muscle biopsy sho...

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Publicado en:Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 18; no. 4; pp. 272 - 278
Autores principales: SONG Xing-wang, GUAN Yu-qing, WU Qian-yi, YI Yong-hong
Formato: case study pictorial research tracings Journal Article
Publicado: Chinese Journal of Contemporary Neurology & Neurosurgery Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
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      pub: Chinese Journal of Contemporary Neurology & Neurosurgery
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        atl: Analysis on clinical phenotype and gene mutation of progressive myoclonic epilepsy: one case report.
      aug:
        au:
          SONG Xing-wang
          GUAN Yu-qing
          WU Qian-yi
          YI Yong-hong
        affil: Department of Neurology, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, Guangdong, China
      sug:
        subj:
          Epilepsies, Myoclonic Familial and Genetic
          Epilepsies, Myoclonic Diagnosis
          Phenotype
          Mutation
          Human
          Male
          Adult
          Cerebellar Ataxia
          Muscle, Skeletal
          Biopsy
          Epilepsies, Myoclonic Pathology
          DNA Blood
          Mitochondrial Diseases
          Peripheral Nervous System Diseases
          Adult: 19-44 years
          Male
      ab: Objective To investigate the features of clinical phenotype and gene mutation of progressive myoclonic epilepsy (PME). Methods and Results The main clinical features of a 43-year-old man were photosensitive seizures, progressive cerebellar ataxia and peripheral neuropathy. Skeletal muscle biopsy showed typical ragged - red fibers (RRF), large amount of mitochondria accumulating under the muscular membrane, and tubular or concentric mitochondrial cristae. A heterozygous c.8344A > G mutation of mitochondrial DNA (mtDNA) was identified from peripheral whole blood cells. The final diagnosis was myoclonic epilepsy with ragged-red fibers (MERRF). Conclusions PMEs are a group of disorders with similar clinical presentations and individual characteristics. The diagnosis of PME should be considered by analyzing the clinical features, pathological results and gene detection. MERRF presents highly clinical heterogeneous features.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: Chinese
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