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Published on: June 30, 2023
Mitochondrial diseases mimicking neurotransmitter defects
Angels Garcia-Cazorla1, Sofia Duarte, Mercedes Serrano
1Neurology Department, Hospital Sant Joan de Deu, Passeig Sant Joan de Deu, 2, 08950 Esplugues, Barcelona, Spain. agarcia@hsjdbcn.org
Mitochondrial disorders can mimic primary neurotransmitter defects in infants. Early diagnosis is crucial as these conditions present with severe neurological symptoms and may require specific management beyond neurotransmitter treatments.
Area of Science:
- Neuroscience
- Genetics
- Biochemistry
Background:
- Mitochondrial disorders exhibit significant clinical heterogeneity.
- Differentiating them from primary neurotransmitter defects can be challenging in early-onset cases.
Observation:
- Five infants presented with symptoms resembling primary neurotransmitter defects, including hypokinetic-rigid syndrome, abnormal movements, hypotonia, and psychomotor delay.
- Cerebrospinal fluid analysis revealed low biogenic amine levels in some patients.
- Treatment with L-dopa showed limited efficacy.
Findings:
- Patients were ultimately diagnosed with mitochondrial disorders based on hyperlactacidemia, respiratory chain defects, and multisystemic involvement.
- The study highlights secondary neurotransmitter disturbances as a feature of mitochondrial diseases.
Implications:
- Paediatric mitochondrial disorders should be considered in the differential diagnosis of infantile hypokinetic-rigid syndrome.
- This underscores the importance of comprehensive biochemical and genetic testing for early and accurate diagnosis.
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