A Case of Myopathy, Encephalopathy, Lactic Acidosis and Stroke-Like Episodes (MEALS) Syndrome with Intracardiac Thrombus.
10.4070/kcj.2013.43.3.204
- Author:
Jung Chul JOO
1
;
Myung Do SEOL
;
Jin Won YOON
;
Young Soo LEE
;
Dong Keun KIM
;
Yong Hoon CHOI
;
Hyo Seong AHN
;
Wook Hyun CHO
Author Information
1. Sahmyook Medical Center Seoul Hospital, Seoul, Korea. mulgang@gmail.com
- Publication Type:Case Report
- Keywords:
MELAS syndrome;
Heart;
Thrombosis
- MeSH:
Acidosis, Lactic;
Cerebral Infarction;
Echocardiography;
Embolism;
Female;
Heart;
Heart Ventricles;
Humans;
MELAS Syndrome;
Mitochondrial Myopathies;
Muscular Diseases;
Stroke;
Thrombosis
- From:Korean Circulation Journal
2013;43(3):204-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
Myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) is a multisystem clinical syndrome manifested by mitochondrial myopathy, encephalopathy, lactic acidosis and recurrent stroke-like episodes. A 27-year-old female with MELAS syndrome presented with cerebral infarction. Echocardiography revealed a thrombus attached to the apex of the hypertrophied left ventricle, with decreased systolic function. The embolism of the intracardiac thrombus might have been the cause of stroke. There should be more consideration given to the increased possibility of intracardiac thrombus formation when a MELAS patient with cardiac involvement is encountered.
