title: [Mitochondrial respiratory chain deficiency may present as multiple sclerosis].
abstract: Defects of the mitochondrial respiratory chain are associated with a great variety of clinical disorders. In addition to the well recognized syndromes, a significant number of patients present non-specific encephalopathic disorders. In consequence these types of mitochondrial disorder are very difficult to diagnose on clinical features alone. In this paper, we describe the clinical and the magnetic resonance findings of 2 patients with a neurological syndrome indistinguishable from multiple sclerosis (Poser). Muscle biochemistry revealed defect of complex IV of the respiratory chain. We think that these patients have a mitochondrial encephalomyopathy. We suggest that in patients presenting as atypical multiple sclerosis it could be necessary investigating mitocondrial encephalopathy.
authors.affiliation: Servicio de Neurología HCU, Facultad de Veterinaria de Zaragoza.
authors.forename: C
authors.initials: C
authors.lastname: Iñiguez
authors.forename: J
authors.initials: J
authors.lastname: Arenas
authors.forename: J
authors.initials: J
authors.lastname: Montoya
authors.forename: E
authors.initials: E
authors.lastname: Mostacero
authors.forename: J
authors.initials: J
authors.lastname: López del Val
authors.forename: F
authors.initials: F
authors.lastname: Morales
mesh_terms: D000328:Adult; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D004579:Electron Transport / Q000502:physiology*; D005260:Female; D006801:Humans; D017241:MELAS Syndrome / Q000175:diagnosis* / Q000235:genetics; D008279:Magnetic Resonance Imaging; D008297:Male; D009103:Multiple Sclerosis / Q000175:diagnosis*; D013118:Spinal Cord Diseases / Q000473:pathology
vernacular_title: El déficit en la cadena respiratoria mitocondrial se puede presentar como una esclerosis múltiple.