Mitochondrion. 2017 Dec 28. pii: S1567-7249(17)30162-9. [Epub ahead of print]
OBJECTIVE: To examine clinical severity, cognitive impairment, and MRI changes in patients with MELAS syndrome.
METHODS: Cognitive-mnestic functions, brain MRI (lesion load, cella media index) and clinical severity of ten patients with MELAS syndrome were examined. All patients carried the m.3243A>G mutation.
RESULTS: The detailed neuropsychological assessment revealed cognitive deficits in attention, executive function, visuoperception, and -construction. There were significant correlations between these cognitive changes, lesion load in MRI, disturbances in everyday life (clinical scale), and high scores in NMDAS.
CONCLUSION: Patients with MELAS syndrome showed no global neuropsychological deficit, but rather distinct cognitive deficits.
Keywords: Cognitive impairment; Dementia; MELAS; MRI; Mitochondrial disorders