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Psychiatric disturbances in five patients with MELAS syndrome
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Cel: Zaburzenia mitochondrialne metabolizmu energetycznego (ZM) stanowią niejednorodną grupę chorób, które mogą ujawnić się w każdym wieku szerokim spektrum objawów klinicznych, w tym zaburzeń psychicznych. Metoda: Celem niniejszej pracy było scharakteryzowanie objawów psychicznych oraz diagnoza u pięciu pacjentów w wieku od 17 do 53 lat cierpiących na zespół MELAS. Wyniki: U czterech pacjentów cierpiących na zespół MELAS stwierdzono obecność mutacji 3243A>G mitochondrialnego DNA (mtDNA), a u jednego pacjenta mutację 12706T>C mtDNA. W rodzinach trzech pacjentów występowały przypadki zespołu MELAS. U jednego pacjenta jako pierwszy objaw zespołu MELAS zdiagnozowano depresję. Depresja poprzedzała również incydent podobny do udaru u jednego pacjenta. Czterech pacjentów cierpiało na zaburzenia funkcji poznawczych, stany splątania wystąpiły u trzech pacjentów. Jeden pacjent przejawiał objawy psychotyczne (podobne do schizofrenii). Wnioski: Zaburzenia mitochondrialne zasługują na uwagę jako część diagnozy różnicowej, szczególnie gdy istnieje podejrzenie wystąpienia objawów chorobowych w innych grupach organów lub występowały przypadki ZM w rodzinie.
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“Studies have shown that psychiatric illnesses are common in patients with mitochondrial diseases. 3 , 4 , 5 , 6”
From Psychiatric care for a person with MELAS syndrome: A case report (2021) · cites this paper as [4]
In the citing paper
“and these include SSRIs, 12 , 14 , 15 SNRIs, 3 MAOIs, 4 antipsychotics, 16 , 17 , 18 and sodium‐valproate 19 , 20 , 21 , 22”
From Psychiatric care for a person with MELAS syndrome: A case report (2021) · cites this paper as [4]
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Metadata
- Authors
- Magner, M., Honzik, T., Tesarova, M., Dvorakova, V., Hansikova, H., Raboch, J., & Zeman, J.
- Corresponding author
- Zeman, Jiri
- Venue
- Psychiatria Polska
- Published
- 2014-10-31
- Volume
- 48
- Issue
- 5
- Pages
- 1035-1045
- ISSN
- 0033-2674 (ISSN-L)
- 2391-5854
- OpenAlex
- W2331005652
- Cited by
- 11
- References
- 22
- Citations by year
- 2025: 2 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 2
- FWCI
- 0.55
- Type
- journal article
- Language
- pl
- Open access
- diamond
- doi.org
- Locations
- Psychiatria Polska (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- MELAS, mitochondrial disease, psychiatric symptoms, depression, stroke-like episodes, confusional state, cognitive impairment, psychosis, schizophrenia-like symptoms, differential diagnosis, family history (medicine)
- MeSH terms
- Adolescent, Adult, Anxiety, Cognition Disorders, Depression, Female, Humans, Male, Mental Health, MELAS Syndrome, Young Adult
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