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Leber's hereditary optic neuropathy associated with a disorder indistinguishable from multiple sclerosis in a male harbouring the mitochondrial DNA 11778 mutation
Author(s) -
Olsen N. K.,
Hansen A. W.,
Nørby S.,
Edal A. L.,
Jørgensen J. R.,
Rosenberg T.
Publication year - 1995
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1995.tb07016.x
Subject(s) - mitochondrial dna , leber's hereditary optic neuropathy , optic neuropathy , multiple sclerosis , mutation , population , genetics , mitochondrion , medicine , biology , neuroscience , optic nerve , gene , immunology , environmental health
This report describes a multiple sclerosis (MS)‐like disorder in a male patient with Leber's hereditary optic neuropathy (LHON) harbouring the mitochondrial DNA 11778 base pair mutation. Given the population frequencies of MS and LHON, coincidental occurrence is unlikely. Hypothetically the mitochondrial mutation underlying LHON may contribute to presumably immunologically mediated involvement of other myelinated axons in the central nervous system in susceptible individuals, producing a disorder indistinguishable from MS. We recommend that investigation for oligoclonal bands in CSF, evoked potentials and MR brain scan in these patients be supplemented with mitochondrial DNA analysis.