Melas Syndrome: pediatric case report

Authors

DOI:

https://doi.org/10.53358/lauinvestiga.v9i2.774

Keywords:

Síndrome MELAS, Infarto cerebral, Acidosis láctica, Epilepsia, Paciente pediátrico.

Abstract

Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like syndrome, also called MELAS, is a relatively unknown medical condition; however, it is the most common mitochondrial disease. This condition is hereditary, multisystemic, and progressive. We present the case of a 14-year-old adolescent diagnosed with MELAS at HSVP (San Vicente de Paúl Hospital) based on the clinical criteria of the MELAS Study Group Committee in Japan - 2012. The patient has been experiencing headaches, vomiting, and generalized tonic-clonic seizures since the age of 10. At the age of 13, she developed bilateral sensorineural hearing loss, and at 14, she experienced focal clonic seizures, hyperlactatemia, and an image of a left temporo-parietal infarction on cerebral magnetic resonance imaging. From our perspective, MELAS syndrome is still poorly understood, and the diagnosis is often delayed. This syndrome primarily affects the neurological system, leading to disability and high mortality rates. This article presents a clinical case that invites to know and learn more about this pathology.

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Author Biographies

Ángel Israel Guerrero Sarchi, Clínica de Especialidades Médicas Atuntaqui

Médico Residente Clínica de Especialidades Médicas Atuntaqui, Ibarra, Código postal 100101, Ecuador,
https://orcid.org/0000-0002-5153-3232, dr.israelguerrero@gmail.com

Nathaly Stephany Lapo Córdova, Hospital San Vicente de Paúl

Neuróloga Pediatra, servicio de pediatría del Hospital San Vicente de Paúl, Ibarra, Código postal 100102,
Ecuador, https://orcid.org/0000-0002-4863-7399, mdnathalylapoc@gmail.com

Adela Arasely Quirola Ruiz, Hospital San Vicente de Paúl

Médico residente de pediatría del Hospital San Vicente de Paúl, Ibarra, Código postal 100102, Ecuador,
https://orcid.org/0009-0009-4611-1199, arita_7710@hotmail.com

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Published

2023-11-23

How to Cite

1.
Guerrero Sarchi Ángel I, Lapo Córdova NS, Quirola Ruiz AA. Melas Syndrome: pediatric case report. lauinvestiga [Internet]. 2023 Nov. 23 [cited 2024 May 16];9(2):47-66. Available from: http://revistasojs.utn.edu.ec/index.php/lauinvestiga/article/view/774

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Clinical cases

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