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A case of cardiac arrest caused by status epilepticus in mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes syndrome

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Introduction: The mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a rare congenital disorder of mitochondrial DNA. Recently, as the prognosis of MELAS syndrome patients improves due to the development of diagnosis and treatment technology, the number of cases is increasing. Case Presentation: In this report, we discussed a case of a 24-year-old man with clinical and radiological picture of MELAS syndrome resuscitating at cardiac arrest after status epilepticus. We would like to describe characteristic radiological features of MELAS syndrome in CT, MRI and ophthalmology finding and differential diagnosis. Conclusions: The rarity of this disorder and the complexity of its clinical presentation make MELAS patients among the most difficult to diagnose. We report a patient who was successfully resuscitated and treated following cardiac arrest due to recurrent status epilepticus.

INTRODUCTION

CASE REPORT

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