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April 27, 2004; 62 (8) Brief Communications

Catastrophic presentation of mitochondrial disease due to a mutation in the tRNAHis gene

R. W. Taylor, A. M. Schaefer, M. T. McDonnell, R. K.H. Petty, A. M. Thomas, E. L. Blakely, C. M. Hayes, R. McFarland, D. M. Turnbull
First published April 26, 2004, DOI: https://doi.org/10.1212/01.WNL.0000120667.77372.46
R. W. Taylor
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
PhD
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A. M. Schaefer
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
MRCP
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M. T. McDonnell
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
BMedSci
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R. K.H. Petty
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
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A. M. Thomas
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
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E. L. Blakely
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
PhD
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C. M. Hayes
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
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R. McFarland
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
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D. M. Turnbull
From the Mitochondrial Research Group (Drs. Taylor, Blakely, Turnbull, Schaefer, and McFarland, M.T. McDonnell and C.M. Hayes), School of Neurology, Neurobiology, and Psychiatry, The Medical School, University of Newcastle upon Tyne, UK; and Department of Neurology (Drs. Thomas and Petty), Southern General Hospital, Glasgow, UK.
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Citation
Catastrophic presentation of mitochondrial disease due to a mutation in the tRNAHis gene
R. W. Taylor, A. M. Schaefer, M. T. McDonnell, R. K.H. Petty, A. M. Thomas, E. L. Blakely, C. M. Hayes, R. McFarland, D. M. Turnbull
Neurology Apr 2004, 62 (8) 1420-1423; DOI: 10.1212/01.WNL.0000120667.77372.46

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Abstract

The authors describe a patient who presented with headache, seizures, and severe cerebral edema in whom they identified a novel mutation in the mitochondrial (mt-) tRNAHis gene. This G12147A transition is heteroplasmic, predicted to disrupt a highly conserved base pair, and segregates with the cytochrome c oxidase deficiency in single muscle fibers.

  • Received October 15, 2003.
  • Accepted in final form December 11, 2003.
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