Poster 30 Exercise Therapy in Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke Like Episodes: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S192
Author(s):  
Oliver Masaba ◽  
Vikram Arora
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Exercise Therapy ◽  
Mitochondrial Encephalomyopathy

scholarly journals Psychiatric Care For A Person With MELAS Syndrome: A Case Report

2021 ◽  
Author(s):  
Douglas Yeung Leong ◽  
Rei Yen Chee ◽  
Yit Shiang Lui
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Multidisciplinary Team ◽  
Psychiatric Care ◽  
Mitochondrial Encephalomyopathy ◽  
Team Approach ◽  
Melas Syndrome ◽  
Team Members ◽  
Multidisciplinary Team Approach

A patient with diagnosed MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes) syndrome had developed psychological and behavioural disturbances at a later stage of his illness. Psychiatric care for this patient would not be possible without a multidisciplinary team approach involving multi-prong interventions from the different team members.

Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome in pregnancy

2021 ◽  
Vol 14 (4) ◽  
pp. e235111
Author(s):  
Deepa Balachandran Nair ◽  
Mariana Bloomfield ◽  
Rajeswari Parasuraman ◽  
David T Howe
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Mitochondrial Disease ◽  
Rare Condition ◽  
Mitochondrial Encephalomyopathy ◽  
Melas Syndrome ◽  
Current Guidelines ◽  
In Pregnancy

The syndrome of mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) is a rare mitochondrial disease with few documented cases in pregnancy. In this case report, we discuss the presentation and management of a 39-year-old grand multiparous lady with MELAS syndrome, which was diagnosed prior to her eighth pregnancy, discuss potential implications of the condition in pregnancy and summarise the current guidelines for the management of this rare condition.

scholarly journals Maternal Mitochondrial Encephalomyopathy, Lactic Acidosis and Stroke-Like Episodes Syndrome and Neonatal Magnesium Toxicity: A Case Report

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Benedicte Le Tinier ◽  
Kuntheavy Ing Lorenzini ◽  
Arnaud Joal ◽  
Begona Martinez De Tejada
Keyword(s):  
Case Report ◽  
Lactic Acidosis ◽  
Mitochondrial Encephalomyopathy

scholarly journals General anesthesia with remimazolam in a patient with mitochondrial encephalomyopathy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuji Suzuki ◽  
Matsuyuki Doi ◽  
Yoshiki Nakajima
Keyword(s):  
Lactic Acidosis ◽  
General Anesthesia ◽  
Mitochondrial Disease ◽  
Muscle Relaxation ◽  
Anesthetic Management ◽  
Perioperative Period ◽  
Mitochondrial Encephalomyopathy ◽  
Anesthesia Induction ◽  
General Anesthetic ◽  
Anesthetic Agents

Abstract Background Systemic anesthetic management of patients with mitochondrial disease requires careful preoperative preparation to administer adequate anesthesia and address potential disease-related complications. The appropriate general anesthetic agents to use in these patients remain controversial. Case presentation A 54-year-old woman (height, 145 cm; weight, 43 kg) diagnosed with mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes underwent elective cochlear implantation. Infusions of intravenous remimazolam and remifentanil guided by patient state index monitoring were used for anesthesia induction and maintenance. Neither lactic acidosis nor prolonged muscle relaxation occurred in the perioperative period. At the end of surgery, flumazenil was administered to antagonize sedation, which rapidly resulted in consciousness. Conclusions Remimazolam administration and reversal with flumazenil were successfully used for general anesthesia in a patient with mitochondrial disease.

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