Leber hereditary optic neuropathy (LHON): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Leber hereditary optic neuropathy (LHON): clinical features. G11778A: this has the worst outcome. Fully referenced neurology checklist.

Genetic point mutations

  • G11778A: this has the worst outcome
  • T14484C: this has the best outcome
  • G3460A

Genetics

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Onset features

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Central visual loss

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Visual signs

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Cardiac features

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Neurological features

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LHON+

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Differential diagnosis

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Prognostic features of poor recovery

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References

  1. Yu-Wai-Man P, Griffiths PG, Hudson G, Chinnery PF. Inherited mitochondrial optic neuropathies. J Med Genet 2009; 46: 145-158.
  2. Riordan-Eva P, Harding AE. Leber's hereditary optic neuropathy: the clinical relevance of different mitochondrial DNA mutations. J Med Genet 1995; 32:81-87.
  3. Man PYW, Turnbull DM, Chinnery PF. Leber hereditary optic neuropathy. J Med Genet 2002; 39:162-169.
  4. McFarland R, Turnbull DM. Batteries not included: diagnosis and management of mitochondrial disease. J Intern Med 2009; 265:210-228.
  5. Zeviani M, Di Donato S. Mitochondrial disorders. Brain 2004; 127:2153-2172.
  6. And 6 more. Subscribe to see the full list

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