Childhood encephalomyopathy with cytochrome c oxidase deficiency, ataxia, muscle wasting, and mental impairment

Neurology. 1986 Aug;36(8):1048-52. doi: 10.1212/wnl.36.8.1048.

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ataxia / diagnosis
  • Ataxia / metabolism
  • Brain Diseases / diagnosis*
  • Brain Diseases / enzymology
  • Brain Diseases, Metabolic / diagnosis
  • Brain Diseases, Metabolic / enzymology
  • Child
  • Cytochrome-c Oxidase Deficiency
  • Humans
  • Intellectual Disability / diagnosis
  • Intellectual Disability / metabolism
  • Male
  • Muscular Diseases / diagnosis
  • Muscular Diseases / enzymology
  • Neuromuscular Diseases / diagnosis*
  • Neuromuscular Diseases / enzymology