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NEUROLOGY 1986;36:1053
© 1986 American Academy of Neurology

Leber's disease and dystonia

A mitochondrial disease

Edward J. Novotny, Jr, MD, Gurparkash Singh, PhD, Douglas C. Wallace, PhD, Leslie J. Dorfman, MD, Anne Louis, MD, Richard L. Sogg, MD and Lawrence Steinman, MD

Department of Neurology (Drs. Novotny, Dorfman, Louis, and Steinman), Division of Pediatric Neurology (Drs. Novotny and Steinman) and Department of Ophthalmology (Dr. Sogg), Stanford University Medical Center, Stanford, CA; and the Department of Biochemistry (Drs. Wallace and Singh), Emory University School of Medicine, Atlanta, GA.

We studied a kindred in which 8 members had the neuroretinopathy of Leber's disease; 14 had a progressive, generalized dystonia attributed to striatal degeneration; and 1 had both disorders. The mode of inheritance was compatible with maternal transmission. This neurologic disorder may be a mitochondrial disease.

Address correspondence and reprint requests to Dr. Novotny, Department of Neurology, Room C-338, Stanford University Medical Center, Stanford, CA 94305.

Supported in part by NIH grant NS21328 and Muscular Dystrophy Grant 1-778 awarded to D.C. Wallace and by an NIH Teacher Investigator Award NS571 to L. Steinman.

Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1, 1985, as the S. Weir Mitchell award presentation.

Accepted for publication November 21, 1985.




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