1986
DOI: 10.1212/wnl.36.8.1048
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Childhood encephalomyopathy with cytochrome c oxidase deficiency, ataxia, muscle wasting, and mental impairment

Abstract: The son of third cousins was normal until age 2 when he had difficulty walking. At age 8 there was limb weakness, ataxia, loss of tendon reflexes, dislalia, and he was mildly retarded. During fasting, urinary organic acid excretion was abnormally high. Cytochrome c oxidase activity in muscle was 7% of the normal mean. The enzyme in platelets was 16% of controls with a decreased cytochrome aa3 peak. These data suggest an autosomal recessive transmission of this variant of cytochrome c oxidase deficiency.

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Cited by 35 publications
(7 citation statements)
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“…Subsarcolemmal NADH–tetrazolium positive rims,42 or intense subsarcolemmal SDH staining45 suggested incipient mitochondrial proliferation. Increased SDH reaction was also seen in the animal knock-out model of the disease 47.…”
Section: Discussionmentioning
confidence: 99%
“…Subsarcolemmal NADH–tetrazolium positive rims,42 or intense subsarcolemmal SDH staining45 suggested incipient mitochondrial proliferation. Increased SDH reaction was also seen in the animal knock-out model of the disease 47.…”
Section: Discussionmentioning
confidence: 99%
“…In 8 cases, platelets obtained from 20 ml of venous blood were isolated according to Blass et al 10 Spectrophotometric assays for the determination of activity of mitochondrial enzymes cytochrome-c-oxidase (COX), succinate-dehydrogenase, succinate-cytochrome-c-reductase, NADH-cytochrome-c-reductase, and citrate-synthetase were performed as previously described. 11 Seven patients freely consented to a muscle biopsy, performed in the triceps brachii or deltoideus muscle. Part of the biopsy was fixed and processed for light and electron microscopy (EM).…”
Section: Methodsmentioning
confidence: 99%
“…Informed consent was obtained in all cases. Mitochondrial fractions were prepared from fresh specimens as described in [23].…”
Section: Preparation Of Mitochondrial Fractionsmentioning
confidence: 99%