MITOCHONDRIAL ENCEPHALOMYOPATHY - A RARE GENETIC CAUSE OF SENSORINEURAL HEARING-LOSS

被引:8
作者
DONOVAN, TJ [1 ]
机构
[1] ST LOUIS UNIV,DEPT OTOLARYNGOL,ST LOUIS,MO 63103
关键词
GENETICS; MELAS SYNDROME (MITOCHONDRIAL ENCEPHALOMYOPATHY WITH LACTIC ACIDOSIS AND STROKE); MITOCHONDRIAL ENCEPHALOMYOPATHY; SENSORINEURAL HEARING LOSS;
D O I
10.1177/000348949510401007
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
A 44-year-old man with a documented 12-year history of progressive sensorineural hearing loss developed a generalized tonic-clonic seizure followed by a visual field deficit and apraxia. Six months later he developed a peripheral neuropathy and muscle fatigue followed by a slowly progressive aphasia and cortical blindness as well as increased seizure activity. A computed tomography scan showed bilateral basal ganglion calcification. The serum lactate level was elevated at 3.4 mEq/dL. A muscle biopsy enabled the diagnosis of mitochondrial myopathy. This disorder is presented as an unusual cause of progressive sensorineural hearing loss in adults.
引用
收藏
页码:786 / 792
页数:7
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