Main clinical features
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progressive muscle weakness, abnormal fatigability, and central nervous system dysfunction since early childhood, nephropathy, learning disability and epileptiform abnormalities on EEG, with a learning disability and epileptiform abnormalities on EEG, progressive cerebellar symptoms, and episodic myoglobinuria; measurement of skeletal muscle mitochondria coenzyme Q10 (CoQ10) severely reduced
also primary glomerular disease with renal lesions that vary in severity and are not necessarily associated with neurological signs
also forms with cerebellar ataxia and marked cerebellar atrophy; and pure myopathy |