RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164078242 T1 MELAS Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164078242 RD 2024/04/16 AB MELAS is an acronym that stands for Mitochondrial myopathy, Encephalopathy, Lactic Acidosis, and Stroke. It is a progressive neurodegenerative disorder that is part of a family of mitochondrial cytopathies that includes MERRF and Leber’s Hereditary Optic Neuropathy (see Other conditions to be considered below). It is characterized by early symptoms of generalized seizures, recurrent headaches, loss of appetite, and recurrent vomiting. Stroke-like episodes with temporary hemiparesis muscle weakness may also occur, affecting consciousness, vision, hearing, motor skills, and intellectual functions. Other clinical features include diabetes mellitus, deafness, episodic vomiting, seizures, and cortical blindness.