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 |