Open AccessStroke in mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes is a vasogenic edema and not ischemic
Author(s) -
Josef Finsterer,
Sinda ZarroukMahjoub
Publication year - 2019
Language(s) - English
DOI - 10.36811/ijbm.2019.110004
Subject(s) - lactic acidosis , subclinical infection , medicine , stroke (engine) , encephalopathy , lesion , cardiology , pathology , mechanical engineering , engineering
there is no common sense how to diagnose and treat stroke-like episodes in mitochondrial encephalopathy, lactic acidosis, and stroke-like episodesAims: to discuss some shortcomings of a previously published paper about a 48yo female with MELAS.Methods: commentaryConclusion: the report could be more meaningful if the diagnosis would have been confirmed genetically, if NO-precursors would have been administered for the SLE, if possible, triggers of the SLE would have been discussed, and if the patient would have been prospectively investigated for subclinical or mildly manifesting abnormalities.Keywords: Mitochondrial; Stroke-like episode; Stroke-like lesion; NO-precursors