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Clinicopathologic Conference, MELAS (mitochondrial encephalopathy, lactic acidosis, and stroke like episodes)
NEJM 376:1668-1678, CASE 13-2017, 2017
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aphasia
ataxia
ataxia,progressive
ataxic gait
cerebrovascular accident,mimics
Clinical Pathologic Conference(C.P.C.)
dementia
dementia,rapidly progressive
encephalopathy,progressive
exercise intolerance
eye movement,disorders of
false negative
familial
gene mutation
genetic testing
headache
hearing loss
imbalance
impulsivity
lactic acidemia
MELAS syndrome
migraine
misdiagnosis
mitochondrial disease
mitochondrial encephalomyopathy
MRI,abnormal
MRI,disappearing lesion on
muscle biopsy
muscle weakness,proximal
myopathy
myopathy,mitochondrial
neurologic examination,focal
ophthalmoplegia
ophthalmoplegia,progressive external
personality change
progressive neurologic disorder
proteinuria
psychosis
rapidly progressing neurologic illness
renal failure
seizure
sensorineural hearing loss
short stature
strokelike episodes
temporal lobe,lesion
upgaze,paralysis of
walking,difficulty with
weakness
weight loss
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