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Recommendations for the Management of Strokelike Episodes in Patients with Mitochondrial Encephalomyopathy, Lactic Acidosis, and Strokelike Episodes
JAMA 73:591-594, Koenig, M.K.,et al, 2016
See this aricle in Pubmed

Article Abstract
Although much information is still needed regarding the appropriate dosing and timing of arginine therapy in patients with MELAS, urgent administration of nitric oxide precursors in patients with MELAS ameliorates the clinical symptom associated with strokelike episodes.
 
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arginine
cerebrovascular accident
cerebrovascular accident,prevention of
MELAS syndrome
mitochondrial disease
prevention of neurologic disorders
strokelike episodes
treatment of neurologic disorder

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