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Clinical aspects

Mitochondrial encephalomyopathy

• Mutation in mitochondrial genes that encode protein complexes
    of the respiratory chain can cause disease in the brain and
    skeletal muscle, being highly dependent on ATP supply.

• This disease is known as mitochondrial encephalomyopathy.

• It is prevalent in 16 out of 100,000.
• The condition is manifested as progressive loss of vision in early

    adulthood, epilepsy and muscle weakness.

Management includes supplementation with

• Ubiquinone, in case of Q10 deficiency.

• Succinate, in case of complex I deficiency, where succinate can

directly donate electrons to complex II.  51
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