J Korean Acad Rehabil Med.  2006 Aug;30(4):406-408.

Leigh Syndrome : Two cases report

Affiliations
  • 1Department of Rehabilitation Medicine, Catholic University of Daegu College of Medicine, Korea.
  • 2Department of Rehabilitation Medicine, Kyungpook National University College of Medicine, Korea. leeyb103@hotmail.com

Abstract

Leigh syndrome is a subacute necrotizing encephalomyelopathy of infancy or early childhood. The clinical presentation can be highly variable. The classical presentations are central hypotonia, developmental regression or arrest, ataxia, ophthalmoplegia, and abnormal respiratory pattern. Diagnosis is usually confirmed by radiologic evidence of focal, bilateral and usually symmetric lesions of the both gray and white matter in the brain and the spinal cord. We experienced 2 cases of Leigh syndrome in a brother and sister.The first case, 4 year-old boy, was misdiagnosed as a cerebral palsy initially, but after acute infection, he revealed developmental regression and abnormal movement. His disease was confirmed by typical magnetic resonance imaging findings. The second case, 1 year-old girl with nystagmus, showed bilateral symmetric high signal intensity in globus pallidus on T2WI. We reported these cases with a brief review of the related literature.

Keyword

Leigh syndrome

MeSH Terms

Ataxia
Brain
Cerebral Palsy
Child, Preschool
Diagnosis
Dyskinesias
Female
Globus Pallidus
Humans
Leigh Disease*
Magnetic Resonance Imaging
Male
Muscle Hypotonia
Ophthalmoplegia
Siblings
Spinal Cord
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