Late onset presentation of Leigh syndrome on two cases: a propósito de dois casos.

نویسندگان

  • Ursula Thomé
  • Alexandre Fernandes
  • Osvaldo José Moreira do Nascimento
  • Marcos Raimundo Gomes de Freitas
  • Marco Antônio Araujo Leite
چکیده

Department of Neurology, Antonio Pedro University Hospital, Federal Fluminense University, Niterói RJ, Brazil: MD, Neuropediatrician, Student of Post-Graduation Program in Neurology and Neuroscience in Federal Fluminense University (UFF); MD, MSc, Neuropediatrician, Professor of Pediatrics in Federal Fluminense University (UFF); MD, PhD, FAAN, Neurologist, Chair in Neurology. Coordinator of the Post-Graduation Program in Neurology and Neuroscience in Federal Fluminense University (UFF); MD, PhD, Neurologist, Chair in Neurology. Professor of Post-Graduation Program in Neurology and Neuroscience in Federal Fluminense University (UFF); MD, MSc, Neurologist of Antonio Pedro University Hospital (UFF). Professor of Neurology in UNIGRANRIO’s Scholl of Medicine. Leigh’s syndrome (LS) or subacute necrotizing encephalomyelopathy, described by Leigh in 1951, is characterized by symmetrical necrotic lesions in the central nervous system, involving areas such as the basal ganglia, brainstem, spinal cord and cerebellum. It is a mitochondrial disease related to various enzymatic defects that affect the oxidative metabolism. It affects mainly infants and preschool children. But its presentation is extremely variable and may occur in children and young adults in atypical way. The most common symptoms are motor with pyramidal and cerebellar features. Beside this, the disease has characteristic findings on anatomopathological examination, neuroimaging and cerebrospinal fluid (CSF) examination. The treatment effectiveness is still controversial, and aims to decrease the anaerobic metabolism and consequently the production of free radicals. We analyze two cases of LS.

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عنوان ژورنال:
  • Arquivos de neuro-psiquiatria

دوره 68 3  شماره 

صفحات  -

تاریخ انتشار 2010