Fitzsimons R B, Clifton-Bligh P, Wolfenden W H
J Neurol Neurosurg Psychiatry. 1981 Jan;44(1):79-82. doi: 10.1136/jnnp.44.1.79.
A case of mitochondrial myopathy and lactic acidaemia with myoclonic epilepsy, cerebellar ataxia and high-tone hearing loss is presented. There was no ptosis or ophthalmoplegia. Endocrine investigations showed a defect in hypothalamic function which was a likely cause of infertility. The case is compared with previously reported examples of mitochondrial myopathy with myoclonic epilepsy, and contrasted with the Kearns-Sayre syndrome. It is concluded that mitochondrial myopathy, myoclonic epilepsy and ataxia may be distinguishing features of a specific familial disease, which on presentation may mimic the Ramsay-Hung syndrome.
本文报告了一例伴有肌阵挛性癫痫、小脑共济失调和高调听力丧失的线粒体肌病和乳酸性酸血症患者。该患者无眼睑下垂或眼肌麻痹。内分泌检查显示下丘脑功能缺陷,这可能是不孕的原因。将该病例与先前报道的伴有肌阵挛性癫痫的线粒体肌病病例进行了比较,并与卡恩斯-塞尔综合征进行了对比。得出的结论是,线粒体肌病、肌阵挛性癫痫和共济失调可能是一种特定家族性疾病的显著特征,在临床表现上可能类似拉姆齐-亨特综合征。