Mitochondrial diseases: systemic investigations

Evidence-based neurology checklist on mitochondrial diseases: systemic investigations: Blood tests Lactate: especially after overnight fast Fasting glucose Creatinine kinase (CK) Calcium Alkaline phosphatase Urea and electrolyte Thyroid function tests (TFT) Acylcarnitine profiles: to exclude lipid…

Blood tests

  • Lactate: especially after overnight fast
  • Fasting glucose
  • Creatinine kinase (CK)
  • Calcium
  • Alkaline phosphatase
  • Urea and electrolyte
  • Thyroid function tests (TFT)
  • Acylcarnitine profiles: to exclude lipid disorders

Biomarkers

Cardiorespiratory tests

Urine analysis

Genetic analysis

References

  1. Chinnery PF, Turnbull DM. Mitochondrial medicine. Q J Med 1997; 90:657-667.
  2. McFarland R, Turnbull DM. Batteries not included: diagnosis and management of mitochondrial disease. J Intern Med 2009; 265:210-228.
  3. Mattman A, O'Riley M, Waters PJ, et al. Diagnosis and management of patients with mitochondrial disease. BC Med J 2011; 53:177-182.
  4. Rahman S, Hanna MG. Diagnosis and therapy in neuromuscular disorders: diagnosis and new treatments in mitochondrial diseases. JNNP 2009; 80:943-953.
  5. Ng YS, Bindoff LA, Gorman GS, et al. Mitochondrial disease in adults: recent advances and future promise. Lancet Neurol 2021; 20:573-584. 
  6. And 1 more. Subscribe to see the full list

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