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Aplasia of the retinal vessels combined with optic nerve hypoplasia, neonatal epileptic seizures, and lactic acidosis due to mitochondrial complex I deficiency.

Abstract
A newborn male with mitochondrial complex I deficiency suffered from neonatal epileptic seizures, which later developed into infantile spasms. The infant was blind due to aplasia of the retinal vessels and hypoplasia of the optic nerve. There was congenital lactic acidosis, which persisted in later life. The boy was microcephalic and retarded. Muscular hypotonia later shifted to spasticity. Succinic acid was increased in urine. We assume that the aplasia of the retinal vessels is due to damage of the retinal ganglion cells caused by the mitochondrial disease in the first 3 to 4 months of pregnancy.
AuthorsR Boor, R Rochels, B Walther, B Reitter
JournalEuropean journal of pediatrics (Eur J Pediatr) Vol. 151 Issue 7 Pg. 519-21 (Jul 1992) ISSN: 0340-6199 [Print] Germany
PMID1396914 (Publication Type: Case Reports, Journal Article)
Chemical References
  • NADH, NADPH Oxidoreductases
  • Electron Transport Complex I
Topics
  • Acidosis, Lactic (complications)
  • Brain (abnormalities, diagnostic imaging)
  • Electron Transport Complex I
  • Epilepsy (complications)
  • Humans
  • Infant, Newborn
  • Male
  • Mitochondria (enzymology)
  • NADH, NADPH Oxidoreductases (deficiency)
  • Optic Nerve (abnormalities)
  • Retinal Vessels (abnormalities)
  • Tomography, X-Ray Computed

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