From Mitochondrial Myopathy to SLC18A3-Related Congenital Presynaptic Myasthenic Syndrome: A Case Report.

IF 0.4 Q4 CLINICAL NEUROLOGY
Case Reports in Neurology Pub Date : 2026-08-28 eCollection Date: 2026-01-01 DOI:10.1159/crn/abyag009
Anke Geertje Boxum, Dennis Klaas Bos, Gea Drost, Jan-Willem Elting, Tom Jozef de Koning, Sonja Leonie van Ockenburg, Lisette Henriëtta Koens
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引用次数: 0

Abstract

Introduction: Recognizing congenital myasthenic syndromes is essential, as appropriate medication can improve muscle weakness.

Case presentation: We report on a 25-year-old male who was diagnosed with a mitochondrial myopathy based on muscle biopsy in childhood, although genetic testing of the mitochondrial DNA did not show abnormalities. New analysis, including a gene panel, revealed two novel variants in the SLC18A3 gene, and characteristic electromyography findings changed his diagnosis to a congenital myasthenic syndrome. Treatment was started, which significantly improved his quality of life.

Conclusion: Our report underscores the importance of re-evaluating diagnoses in patients without genetic confirmation, so that treatable conditions are not overlooked.

从线粒体肌病到slc18a3相关的先天性突触前肌无力综合征1例报告。
认识先天性肌无力综合征是必要的,因为适当的药物治疗可以改善肌肉无力。病例介绍:我们报告了一名25岁的男性,他在童年时根据肌肉活检被诊断为线粒体肌病,尽管线粒体DNA的基因检测没有显示异常。新的分析,包括一个基因面板,揭示了SLC18A3基因的两个新变体,以及特征性的肌电图结果将他的诊断改变为先天性肌无力综合征。治疗开始了,大大提高了他的生活质量。结论:我们的报告强调了在没有基因确认的患者中重新评估诊断的重要性,这样可治疗的疾病就不会被忽视。
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来源期刊
Case Reports in Neurology
Case Reports in Neurology Medicine-Neurology (clinical)
CiteScore
1.50
自引率
0.00%
发文量
67
审稿时长
14 weeks
期刊介绍: This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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