Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency

Coenzyme q10 (CoQ10) deficiency is an extremely uncommon disease that has very rarely been reported in adulthood. This case describes an elderly male with ataxia since adolescence, and visual disturbance since 40, presenting with recurrent episodes of seizures. Imaging revealed stroke-like episodes,...

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Main Authors: Rithvik Ramesh, Sundar Hariharan, Latha Sundar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=6;spage=980;epage=982;aulast=Ramesh
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author Rithvik Ramesh
Sundar Hariharan
Latha Sundar
author_facet Rithvik Ramesh
Sundar Hariharan
Latha Sundar
author_sort Rithvik Ramesh
collection DOAJ
description Coenzyme q10 (CoQ10) deficiency is an extremely uncommon disease that has very rarely been reported in adulthood. This case describes an elderly male with ataxia since adolescence, and visual disturbance since 40, presenting with recurrent episodes of seizures. Imaging revealed stroke-like episodes, with other immune and infective evaluations being negative. He was eventually diagnosed to have Primary CoQ10 deficiency secondary to CoQ8A mutation. This account highlights the challenges in diagnosing and managing primary Coenzyme Q10 deficiency, especially when it presents later in life with atypical features such as stroke-like episodes.
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spelling doaj.art-02413efc558947eca4cc7631016f52442024-01-18T10:33:01ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492023-01-0126698098210.4103/aian.aian_511_23Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiencyRithvik RameshSundar HariharanLatha SundarCoenzyme q10 (CoQ10) deficiency is an extremely uncommon disease that has very rarely been reported in adulthood. This case describes an elderly male with ataxia since adolescence, and visual disturbance since 40, presenting with recurrent episodes of seizures. Imaging revealed stroke-like episodes, with other immune and infective evaluations being negative. He was eventually diagnosed to have Primary CoQ10 deficiency secondary to CoQ8A mutation. This account highlights the challenges in diagnosing and managing primary Coenzyme Q10 deficiency, especially when it presents later in life with atypical features such as stroke-like episodes.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=6;spage=980;epage=982;aulast=Rameshmitochondrial diseasesprimary coq deficiencystroke like episode
spellingShingle Rithvik Ramesh
Sundar Hariharan
Latha Sundar
Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
Annals of Indian Academy of Neurology
mitochondrial diseases
primary coq deficiency
stroke like episode
title Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
title_full Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
title_fullStr Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
title_full_unstemmed Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
title_short Stroke-Like episodes and epilepsy in a patient with COQ8A-Related coenzyme Q10 deficiency
title_sort stroke like episodes and epilepsy in a patient with coq8a related coenzyme q10 deficiency
topic mitochondrial diseases
primary coq deficiency
stroke like episode
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=6;spage=980;epage=982;aulast=Ramesh
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AT sundarhariharan strokelikeepisodesandepilepsyinapatientwithcoq8arelatedcoenzymeq10deficiency
AT lathasundar strokelikeepisodesandepilepsyinapatientwithcoq8arelatedcoenzymeq10deficiency