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Text
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<a href="http://doi.org/10.1016/s0387-7604(96)00558-x" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0387-7604(96)00558-x</a>
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Title
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Recurrent pain attacks in a 3-year-old patient with myoclonus epilepsy associated with ragged-red fibers (MERRF): a single-photon emission computed tomographic (SPECT) and electrophysiological study
Publisher
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Brain & Development
Date
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1997
Subject
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Child; Female; Humans; Magnetic Resonance Imaging; Preschool; Q3 Literature Search; Emission-Computed; Tomography; Evoked Potentials; Epilepsies; Recurrence; Pain/diagnosis/drug therapy/etiology; Single-Photon; Somatosensory/physiology; Cytochrome c Group/pharmacology; Flavin Mononucleotide/pharmacology; MERRF Syndrome/complications/diagnosis/physiopathology; Myoclonic/complications/physiopathology/radionuclide imaging; Thalamus/blood supply; Thiamine/pharmacology
Creator
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Tanaka S; Osari S; Ozawa M; Yamanouchi H; Goto Y; Matsuda H; Nonaka I
Description
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We reported a 3-year-old girl with myoclonus epilepsy associated with ragged-red fibers (MERRF) who was afflicted with recurrent pain attacks and allodynia on the right side of the body. Although magnetic resonance imaging showed normal intensity in the thalamus, single-photon emission computed tomography (SPECT) revealed hypoperfusion in the thalamus. Somatosensory evoked potentials showed delayed early cortical responses, particularly on right median nerve stimulation. The parenteral administration of cytochrome c with flavin mononucleotide and thiamine diphosphate abolished the intolerable pain. This clinical improvement was objectively supported by the results of SPECT and neurophysiological findings. These observations suggested that a dysfunction of the thalamus was responsible for her pain and that cytochrome c therapy was of benefit for this symptom.
1997
Identifier
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<a href="http://doi.org/10.1016/s0387-7604(96)00558-x" target="_blank" rel="noreferrer">10.1016/s0387-7604(96)00558-x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
1997
Backlog
Brain & Development
Child
Cytochrome c Group/pharmacology
Emission-Computed
Epilepsies
Evoked Potentials
Female
Flavin Mononucleotide/pharmacology
Goto Y
Humans
Journal Article
Magnetic Resonance Imaging
Matsuda H
MERRF Syndrome/complications/diagnosis/physiopathology
Myoclonic/complications/physiopathology/radionuclide imaging
Nonaka I
Osari S
Ozawa M
Pain/diagnosis/drug therapy/etiology
Preschool
Q3 Scoping Review Results
Recurrence
Single-Photon
Somatosensory/physiology
Tanaka S
Thalamus/blood supply
Thiamine/pharmacology
Tomography
Yamanouchi H