It is a disease with a wide continuum of phenotypes ranging from mild forms of ptosis to multisystemic disorders resulting in early death. An important clinical symptomatic feature is the presence of droopy eyelids ptosis in one or. An important clinical symptomatic feature is the presence of droopy eyelids ptosis in one or both eyes. We report a case of a 14yearold boy diagnosed and treated as myasthenia gravis for 4 years who was eventually diagnosed with kss. The classic clinical triad is progressive external ophthalmoplegia, retinitis pigmentosa, and onset before 20 years of age, plus one of the following. Clinical presentation the patient often presents with progressive external ophthalmoplegia 1. Pdf kearn s sayre syndrome is a multisystem mitochondrial myopathy which has rarely seen. Kearnssayre syndrome symptoms, treatment, causes, prognosis. Kearnssayre syndrome kss is a rare mitochondrial genetic disorder with multisystem involvement.
In this paper, we reported 19 kearnssayre syndrome kss patients whose diagnoses were in accordance with the current clinical diagnostic criteria of kss, i. Kearns sayre syndrome nord national organization for rare. It is a disease with a wide continuum of phenotypes. We report a patient with kearn s sayre syndrome who had. Kearns sayre syndrome nord national organization for. External ophthalmoplegia, retinal pigmentary degeneration, and heart block constitute the kearnssayre syndrome.
The kearns sayre syndrome is an uncommon neuromuscular condition that affects those below 20 years of age. Classical triad of kearnssayre syndrome bmj case reports. Pdf anesthesia management of a patient with kearn%u2019s. Kearnssayre syndrome kss, oculocraniosomatic disorder or oculocranionsomatic neuromuscular disorder with ragged red fibers, is a mitochondrial myopathy with a typical onset before 20 years of age. Kearns sayre syndrome kss is a mitochondrial disorder consisting of external ophthalmoplegia, retinitis pigmentosa, ataxia and heart block.
Chronic progressive external ophthalmoplegia cpeo caused. Kearnssayre syndrome kss is a rare multisystemic disorder. People with kearnssayre syndrome have progressive external ophthalmoplegia, which is weakness or paralysis of the eye muscles that impairs. Kearns sayre syndrome kss is a rare multisystemic disorder. Kearnssayre syndrome is a neurodegenerative disorder due to deletions of mitochondrial dna, which was first described in 1958 by thomas kearns and george sayre. Marked heterogeneity and various types of inheritance have been observed. Kearnssayre syndrome is caused by defects in mitochondria, which are. It results from abnormalities in the dna of mitochondria small rodlike structures found in every cell of the body that produce the energy that drives cellular functions. Two studies have provided congruent information on the prevalence of largescale mitochondrial deletions in the adult population.
The kearnssayre syndrome is an uncommon neuromuscular condition that affects those below 20 years of age. Kearnssayre syndrome kss exact prevalence is unknown, but has been estimated at 1125,000. Kearnssayre syndrome kss is a rare neuromuscular disorder. Cardiomyopathy, external ophthalmoplegia, heart block, kearnssayre syndrome. Kearnssayre syndrome is a condition that affects many parts of the body, especially the eyes. Kss is a more severe syndromic variant of chronic progressive external ophthalmoplegia abbreviated cpeo, a syndrome that is characterized by isolated involvement of the muscles controlling. Pdf background kearnssayre syndrome kss is a rare mitochondrial cytopathy, first described at mayo clinic in 1958. Kearnssayre syndrome kss is a rare mitochondrial myopathy caused by deletion of mitochondrial dna. Autosomal dominant kearnssayre syndrome ophthalmology.
Kearnssayre syndrome is characterised by the development of progressive external ophthalmoplegia, ptosis, and retinitis pigmentosa with onset before the age. The original characterisation as presented by kearns in 1958 comprised three core findings. The condition is generally characterized by a progressive paralysis of the eye muscles, discoloration of the retina, and cardiomyopathy. Kearnssayre syndrome an overview sciencedirect topics.
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