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LEIGH`S SYNDROME, SUBACUTE NECROTIZING ENCEPHALOPATHY (SNE)

LEIGH`S SYNDROME, SUBACUTE NECROTIZING ENCEPHALOPATHY (SNE)
ENCEPHALOPATHY, NECROTIZING
256000
OMIM = Online Mendelian Inheritance of Men
506
nuclear and mitochondrial DNA defects
19p13, 11q13, 11q13, 9q34
G31.88
rare (>130 cases)
autosomal recessive, mitochondrial
COX10
Laboratory findings    Alanine inc (plasma)
    Alanine inc (urine)
    Complex I activity ()
    Cytochrome c oxidase ()
    Fumaric acid inc (urine)
    L-Lactic acid normal/inc (cerebrospinal fluid)
    L-Lactic acid inc (plasma)
    L-Lactic acid inc (urine)
    Succinic acid inc (urine)
Symptomslactic acidosis
   ataxia
   dystonia
   early death
   muscle weakness
   myopathy
   ophthalmoplegia
   peripheral neuropathy
   psychomotor regression
   seizures
   vomiting
    Amino acids, plasma
    Amino acids, urine
    apnea
    clumsiness, coordination defect or unsteadiness
    CT, brain, abnormalities [-]
    developmental regression
    dysarthria
    encephalopathy
    failure to thrive
    hearing defect, deafness
    hyperreflexia
    hypertrichosis
    hypotonia
    liver involvement or dysfunction
    mental retardation
    motor retardation
    MRI, brain, gray matter abnormalities [-]
    MRS, brain, basal ganglia, lactate [-]
    nystagmus
    onset, childhood
    onset, infancy
    optic atrophy
    psychomotor retardation
    respiratory insufficiency
    strabismus
    tremor or twitching
    weight loss