You are here

Article Text

Article menu
Download PDFPDF
Neurological picture
Cortical susceptibility-weighted imaging hypointensity after stroke-like episode in MELAS
  1. Dimitri Renard,
  2. Guillaume Taieb
  1. Department of Neurology, CHU Nîmes, Hôpital Caremeau, Place du Pr Debré, Nîmes, Cedex 4, France
  1. Correspondence to Dr Dimitri Renard, Department of Neurology, CHU Nîmes, Hôpital Caremeau, Place du Pr Debré, Nîmes 30029, Cedex 4, France; dimitrirenard{at}hotmail.com

https://doi.org/10.1136/jnnp-2013-306933

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    A 49-year-old woman with a known m.3243A>G tRNALeu(UUR) mutation (ie, the most frequent mutation in mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS)) diagnosed in the presence of migraine, diabetes mellitus, neurosensory hearing loss, short stature, cognitive deficit, ataxia and elevated lactate levels, presented with subacute aphasia and right hemiplegia. Brain MRI showed a typical stroke-like lesion in the left temporal and parietal lobe and prerolandic cortex. At this time, gradient-echo T2-weighted imaging showed hyperintensities in the involved regions (also visible on T2-weighted and FLAIR imaging, probably due to the …

    View Full Text

    Footnotes

    • Contributors DR and GT: substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version to be published.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.