[A case of MELAS showing CSF pleocytosis associated with stroke-like episodes].

@article{Maruyama1998ACO,
  title={[A case of MELAS showing CSF pleocytosis associated with stroke-like episodes].},
  author={Satoshi Maruyama and Takeshi Yamada and Yu Ishimoto and Hideo Hara and Takayuki Taniwaki and Jun-ichi Kira},
  journal={Rinsho shinkeigaku = Clinical neurology},
  year={1998},
  volume={38 7},
  pages={641-4}
}
A 55-year-old woman, who had two episodes of difficulty in putting a key into a keyhole probably due to optic ataxia at age 52 and 54 years old, developed speaking errors and was admitted to our hospital. She was 152.5 cm in height and 52.5 kg in weight. Neurological examination revealed right homonymous hemianopsia and sensory aphasia. A CSF examination revealed lymphocytic pleocytosis of 88/microliter. Serum lactate and pyruvate were remarkably increased after an aerobic exercise test. A few… CONTINUE READING