Leigh syndrome: management

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

Leigh syndrome: management. Subacute necrotising encephalopathy, Respiratory chain dysfunction. Fully referenced neurology checklist.

Pathological features

  • Subacute necrotising encephalopathy
  • Respiratory chain dysfunction
  • Pyruvate dehydrogenase complex (PDHC) dysfunction

Biochemical investigations

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Magnetic resonance imaging (MRI): basal ganglia lesions

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Magnetic resonance imaging (MRI): other features

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Treatment

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References

  1. Baertling F, Rodenburg RJ, Schaper J, et al. A guide to diagnosis and treatment of Leigh syndrome. JNNP 2014; 85:257-265. 
  2. Yang YL, Sun F, Zhang Y, et al. Clinical and laboratory survey of 65 Chinese patients with Leigh syndrome. Chin Med J (Engl) 2006; 119:373-377.
  3. Valanne L, Ketonen L, Majander A, Suomalainen A, Pihko H. Neuroradiologic findings in children with mitochondrial disorders. Am J Neuroradiol 19:369-377.
  4. Ortigoza-Escobar JD, Molero-Luis M, Arias A, et al. Free-thiamine is a potential biomarker of thiamine transporter-2 deficiency: a treatable cause of Leigh syndrome. Brain 2016; 139:31-38.

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