MELAS: MRI features

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

MELAS: MRI features. See Neurochecklist: “MELAS: Stroke-like episodes”. Fully referenced neurology checklist.

Stroke-like episodes

  • See Neurochecklist: “MELAS: Stroke-like episodes”

Basal ganglia calcifications

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Progressive brain infarcts

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Apparent diffusion coefficient (ADC) features

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Diffusion weighted MR spectroscopy

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Other MRI features of MELAS

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Acronym

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References

  1. Sue CM, Crimmins DS, Soo YS, et al. Neuroradiological features of six kindreds with MELAS tRNA(Leu) A2343G point mutation: implications for pathogenesis. JNNP 1998; 65:233-240.
  2. Oppenheim C, Galanaud D, Samson Y, Sahel M, Dormont D, Wechsler B, Marsault C. Can diffusion weighted magnetic resonance imaging help differentiate stroke from stroke-like events in MELAS? JNNP 2000; 69:248-250.
  3. Liu Z, Zheng D, Wang X, Zhang J, Xie S, Xiao J, Jiang X. Apparent diffusion coefficients of metabolites in patients with MELAS using diffusion-weighted MR spectroscopy. Am J Neuroradiol 2011; 32:898-902.
  4. Whitehead MT, Wien M, Lee B, Bass N, Gropman A. Cortical venous disease severity in MELAS syndrome correlates with brain lesion development. Neuroradiology 2017; 59:813-818. 
  5. Finsterer J. Characteristics of stroke-like lesions on cerebral imaging. Ideggyogy Sz 2023; 76:5-10.
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