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Adult-onset mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS): a diagnostic challenge. [PDF]

open access: yesBMJ Case Rep
Rare causes of stroke-like presentations can be difficult to diagnose. We report a case of a man in his 40s who first presented with stroke symptoms, but whose clinical course was not typical for a stroke.
Acquaah J, Ferdinand P, Roffe C.
europepmc   +2 more sources
Some of the next articles are maybe not open access.

Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes

Journal of Stroke and Cerebrovascular Diseases, 2023
A 40-year-old man with sensorineural hearing loss and diabetes mellitus was hospitalized with acute-onset impaired consciousness and clumsiness in his left hand. He had been taking metformin for 4 months. A neurological examination revealed confusion and weakness in the left upper limb.
Hidefumi Itô   +2 more
exaly   +3 more sources

Neuroimaging of stroke-like episodes in MELAS

Brain and Development, 2011
Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) shows sudden neurological deficits that are called 'stroke-like episodes'. With regard to the pathophysiology of stroke-like episodes, so-called mitochondrial angiopathy and cytopathy theories have been proposed, but the subject is still controversial.
Hiromichi, Ito   +2 more
exaly   +3 more sources

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