Abstract |
Case presentation: Clinical findings and investigations: The patient had expressive aphasia with impaired fluency, repetition, and naming. After being discharged, he represented with loss of consciousness and involuntary movements of the whole body. MRI and MRS showed extension of hyperintense lesions to parieto-occipital regions from temporal regions not limited by vascular territories. MELAS was considered, which was confirmed by molecular genetic analysis. Coenzyme Q10 was used for MELAS. Insulin, Linagliptin, and levetiracetam were used for diabetes and seizures. Regular follow-up was advised to the patient. MELAS is an important syndrome to consider in any young patient presenting with unexplained stroke disorders. A high index of suspicion is needed in an appropriate clinical setting to avoid misdiagnosis.
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Authors | Ram C Subedi, Raju Paudel, Sharma Paudel, Lekhjung Thapa, Subash Phuyal, Naresh Kharbuja, Ayush Adhikari |
Journal | Annals of medicine and surgery (2012)
(Ann Med Surg (Lond))
Vol. 85
Issue 6
Pg. 3026-3030
(Jun 2023)
ISSN: 2049-0801 [Print] England |
PMID | 37363571
(Publication Type: Journal Article)
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Copyright | Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. |