Acute management of a stroke-like episode in MELAS syndrome: What should we know?

Tirso González-Pinto González; Javier Almeida Velasco; Ana Moreno Estébanez; Garazi Agirre Beitia; Laura Cabral Martínez; Irene Díaz Cuervo; Amaia Martínez Arroyo

doi:10.1016/j.ensci.2020.100249

Acute management of a stroke-like episode in MELAS syndrome: What should we know?

eNeurologicalSci. 2020 Jun 18:20:100249. doi: 10.1016/j.ensci.2020.100249. eCollection 2020 Sep.

Authors

Tirso González-Pinto González¹, Javier Almeida Velasco², Ana Moreno Estébanez¹, Garazi Agirre Beitia¹, Laura Cabral Martínez¹, Irene Díaz Cuervo¹, Amaia Martínez Arroyo³

Affiliations

¹ Department of Neurology, Cruces University Hospital, Plaza Cruces S, /N 48903, Barakaldo, Basque Country, Spain.
² Department of Neurology, Urduliz Alfredo Espinosa Hospital, Goieta Kalea 32 48610, Urduliz, Basque Country, Spain.
³ Department of Neurology, Galdakao University Hospital, Labeaga Auzoa S, /N 48960, Galdakao, Basque Country, Spain.

Abstract

•Acute management of SLEs differs from usual therapy in classic stroke patients.•IV L-Arginine should be administered urgently in the setting of a SLE.•If mental status is altered, an EEG should be performed to rule out a non-convulsive status.