Abstract
A case of mitochondrial encephalomyopathy (MEM) followed-up by MRI for 2 1/2y is presented. MRI showed gross, diffusely distributed white matter lesions in both hemispheres predominantly in frontal, parietal, temporal and occipital locations a marked ventriculomegaly indicative of cerebral atrophy. Except a slight increase of the cerebral atrophy there were no changes in the follow-up examinations. There are no specific MRI findings in MEM, the diagnosis is established by the synopsis of MRI, laboratory data and muscle biopsy.
References
Valk J, van der Knapp MS (1989) Magnetic Resonance of Myelin, Myelination and Myelin Disorders Springer, Berlin Heidelberg New York
Sengers RCA, Stadhouders AM, Trijbels JMF (1984) Mitochondrial myopathies. Eur J Pediatr 141: 192
Di Mauro S, Bonilla E, Zeviani M, Nakagawa M, De Vivo DC (1985) Mitochondrial myopathies. Ann Neurol 17: 521
Morgan-Hughes JA, Hayes DJ, Clark JB, Landdon DN, Swash M, Stark RJ, Rudge P (1982) Mitochondrial Encephalomyopathies, biochemical studies in two cases revealing defects in the respiratory chain. Brain 105: 553
Yamamoto T, Beppu H, Tsubaki T (1984) Mitochondrial encephalomyopathy: fluctuating symptoms and CT. Neurology 34: 1456
Kuriyama M, Umezaki H, Fukuda Y, Osame M, Koike K, Tateishi J, Igata A (1984) Mitochondrial encephalomyopathy with lactate-pyruvate elevation and brain infarctions. Neurology 34: 72
Ishitsu T, Miike T, Kitano A, Haraguchi Y, Ohtani Y, Matsuda I, Shimoji A, Kimura H (1987) Heterogeneous phenotypes of mitochondrial encephalomyopathy in a single kindred. Neurology 37: 1867
Sengers RCA, Trijbels JMF, Bakkeren JAJM, Ruitenbeek W, Janssen AJM, Stadhouders AM, terLaak HJ (1983) Dysmyelination and disturbed metobolism of pyruvate: a case report Eur J Pediatr 140: 127
Markesbery WR (1979) Lactic acidemia, mitochondrial myopathy and basal ganglia calcification. Neurology 29: 1057
Taverni N, Dal Pozzo G, Arnetol G, Zappoli R (1988) Diagnosis and follow up of mitochondrial encephalomyopathy: CT and MR Studies in almost symetrically distribution (arrows). J Comp Ass Tomography 12: 696
Cole AJ, Kuzniecky R, Karpati G, Carpenter S, Andermann E, Andermann F (1988) Familial myopathy with changes resembling inclusions body myositis and periventricular leukocephalopathy Brain 111: 1025
Penner MW, Li KC, Gebarski SS, Allen RJ (1987) MR Imaging of pelizaens-Merzbacher disease. J Comp Ass Tomogr 11: 591
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Hausegger, K.A., Millner, M.M., Ebner, F. et al. Mitochondrial encephalomyopathy — two years follow-up by MRI. Pediatr Radiol 21, 231–233 (1991). https://doi.org/10.1007/BF02011058
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DOI: https://doi.org/10.1007/BF02011058