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MYOCLONIC EPILEPSY AND RAGGED RED FIBER DISEASE (MERRF)

MYOCLONIC EPILEPSY AND RAGGED RED FIBER DISEASE (MERRF)
MERRF SYNDROME; FUKUHARA SYNDROME
545000
OMIM = Online Mendelian Inheritance of Men
551
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G31.81
rare
mitochondrial
80-90 % heteroplasmic for G->A point mutation of the tRNA gene * diagnosis: mitochondrial DNA analysis in leukocytes muscle biopsy with histochemistry, electron microscopy and immediate isolation of mitochondria
Laboratory findings    Growth differentiation factor 15 (GDF15) inc (serum)
    L-Lactic acid inc (blood)
    Lactate/Pyruvate ratio inc (blood)
Symptoms    ataxia
    cardiomyopathy
    EEG abnormalities [-]
    Electron microscopy [-]
    epilepsy
    headache (severe, recurrent or occipital, migraine)
    hearing defect, deafness
    hypertonia, spasticity
    lactic acidosis
    mental retardation
    metabolic acidosis
    muscle weakness
    myoclonus
    myopathy
    onset, childhood
    optic atrophy
    PET (positron emission tomography), abnormal
    respiratory insufficiency
    seizures