title: [Subacute necrotizing encephalomyelopathy (Leigh's disease) (author's transl)].
abstract: The characteristic neuropathological features of subacute necrotizing encephalomyelopathy (Leigh), their histology and distribution are described. Clinical findings are unspecific. Impairment of feeding. vomitus, respiratory abnormality, retardation of psychomotor development, familial incidence and onset in early childhood are prominent symptoms. Atactic and athetoid movements, optic atrophy, oculomotor abnormalities are observed in most cases. An enzyme inhibitor excreted in the urine seems to be related to an inborn error of thiamine dependent metabolism in brain tissue. Treatment with thiamine derivatives may have a beneficial effect on the clinical course.
mesh_terms: D000367:Age Factors; D001259:Ataxia / Q000150:complications; D001264:Athetosis / Q000150:complications; D001344:Autopsy; D001933:Brain Stem; D002648:Child; D002675:Child, Preschool; D002819:Chorea / Q000150:complications; D004678:Encephalomalacia / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000235:genetics / Q000473:pathology; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D009896:Optic Atrophy / Q000150:complications; D011596:Psychomotor Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D013831:Thiamine / Q000627:therapeutic use; D014839:Vomiting
chemical_list: D013831:Thiamine
vernacular_title: Die subakute nekrotisierende Enzephalomyelopathie (Leigh). Ein Uberblick