Main clinical features
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early-onset neurodegenerative disorder associated with dysfunction of the mitochondrial respiratory chain
psychomotor delay, decreased spontaneous movement of the lower right limb and continuous involuntary movements of the hands and feet, fasciculations of the tongue, hypotonia, and areflexia
brain MRI showed abnormal signals in the basal ganglia
EMG and nerve conduction studies showed an axonal sensory and motor neuropathy
muscle biopsy showed decreased mtDNA copy number (20p100 of control), and cultured fibroblasts showed reduced mitochondrial complexes I, II, III, and IV |