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PubMed · 9225323

Serial imaging in MELAS.

A Miyamoto·J Oki·S Takahashi·J Itoh·Y Kusunoki·K Cho
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Abstract

We report two patients with fatal mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS). Single-photon emission computed tomography (SPECT) with 123I-N-isopropyl-p-iodoamphetamine was more sensitive to the lesions than CT or MRI. SPECT showed focal hyperperfusion before or during the stroke and diffuse hypoperfusion of the brain, sparing the basal ganglia in the terminal stages. These findings support the theory that metabolic disturbance in the brain causes the "stroke" in MELAS.

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AmphetaminesBrainChildEnergy MetabolismFatal OutcomeFemaleHumansIodine RadioisotopesIofetamineMELAS SyndromeMagnetic Resonance ImagingRegional Blood FlowSensitivity and SpecificityTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedCase ReportsJournal Article

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A Miyamoto, J Oki, S Takahashi, J Itoh, Y Kusunoki, K Cho. 1997. Serial imaging in MELAS.. https://doi.org/10.1007/s002340050438

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