Journal of Neurological Sciences (Turkish) Ahead Of Print
Epileptic nystagmus with different localization of MRI lesions in a case diagnosed as MELAS
Aycin Yıldız Tabakoglu1, Seyma Ciftci1, Aysen Suzen Ekinci1, Ayse Guler1, Fikret Bademkiran1, Hatice Karasoy1, Ibrahim Aydogdu1
1ege unıversıty faculty of medicne, neurology, ızmır,
DOI : 10.24165/jns.10003.16 MELAS is a syndrome which is characterized as mitochondrial myopathy, encephalopathy, lactic acidosis and recurrent stroke like episodes. Recurrent attacks of prolonged migrainous headache, different types of epileptic seizures and repeated cerebral lesions are the main clinical features of the disease. Cerebral lesions can cause different seizure types in this syndrome according to affected brain areas. Herein, we are reporting a case of MELAS who experienced recurrent neurologic deficits, confusional states and epileptic seizures with ictal epileptic nystagmus. Ictal EEG recordings and MRI lesions also supported to the ictal focus of epileptic nystagmus. With this case, we would like to take attention to this rare ictal event. Keywords : seizure, epileptic nystagmus, MELAS