Mitochondrial epilepsies

Evidence-based neurology checklist on mitochondrial epilepsies: Mitochondrial diseases presenting with epilepsy Mitochondrial encephalomyopathy lactic acidosis and stroke-like episodes (MELAS) Myoclonic epilepsy with ragged red fibers (MERRF) Alpers syndrome Mitochondrial recessive ataxia syndrome…

Mitochondrial diseases presenting with epilepsy

  • Mitochondrial encephalomyopathy lactic acidosis and stroke-like episodes (MELAS)
  • Myoclonic epilepsy with ragged red fibers (MERRF)
  • Alpers syndrome
  • Mitochondrial recessive ataxia syndrome (MIRAS)
  • Spinocerebellar ataxia with epilepsy (SCAE)
  • Myoclonus, epilepsy, myopathy, sensory ataxia (MEMSA)
  • Leigh syndrome

Presentations

Electroencephalogram (EG)

References

  1. Rahman S. Mitochondrial disease and epilepsy. Dev Med Child Neurol 2012; 54:397-406.
  2. Engelsen BA, Tzoulis C, Karlsen B, et al. POLG1 mutations cause a syndromic epilepsy with occipital lobe predilection. Brain 2008; 131:818-828.
  3. Wolf NI, Rahman S, Schmitt B, et al. Status epilepticus in children with Alpers' disease caused by POLG1 mutations: EEG and MRI features. Epilepsia 2009; 50:1596-1607.
  4. Lopriore P, Gomes F, Montano V, Siciliano G, Mancuso M. Mitochondrial epilepsy, a challenge for neurologists. Int J Mol Sci 2022; 23:13216.

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