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Case Reports
. 2005 Mar;62(3):473-6.
doi: 10.1001/archneur.62.3.473.

Novel mitochondrial DNA ND5 mutation in a patient with clinical features of MELAS and MERRF

Affiliations
Case Reports

Novel mitochondrial DNA ND5 mutation in a patient with clinical features of MELAS and MERRF

Ali B Naini et al. Arch Neurol. 2005 Mar.

Abstract

Background: The mitochondrial DNA gene encoding subunit 5 of complex I (ND5) has turned out to be a hot spot for mutations associated with mitochondrial encephalomyopathy with lactic acidosis and strokelike episodes (MELAS) and various overlap syndromes.

Objective: To describe a novel mutation in the ND5 gene in a young man man with an overlap syndrome of MELAS and myoclonus epilepsy with ragged-red fibers.

Design: Case report.

Patient: A 25-year-old man had recurrent strokes, seizures, and myoclonus. His mother also had multiple strokes. A muscle biopsy specimen showed no ragged-red fibers but several strongly succinate dehydrogenase-reactive blood vessels.

Results: Biochemical analysis showed isolated complex I deficiency and molecular analysis revealed a novel heteroplasmic mutation (G13042A) in the ND5 gene.

Conclusions: These data confirm that ND5 is a genetic hot spot for overlap syndromes, including MELAS and strokelike and myoclonus epilepsy with ragged-red fibers.

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