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Adult-Onset MELAS Presenting as Herpes Encephalitis
Arch Neurol 56:241-243, Sharfstein,S.R.,et al, 1999
See this aricle in Pubmed

Article Abstract
The clinical presentation as well as age at onset of MELAS are highly variable. Onset of mitochondrial disorders can be provoked by febrile illness when there is mismatch between energy requirements and availability. In the differential diagnosis of herpes encephalitides, MELAS syndrome should be considered.
 
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cerebrovascular accident
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herpes simplex encephalitis
herpes simplex encephalitis,differential diagnosis of
MELAS syndrome
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