What is MERRF (Myoclonic Epilepsy with Ragged Red Fibers) mitochondrial disorder?

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From the Research

MERRF (Myoclonic Epilepsy with Ragged Red Fibers) is a rare mitochondrial disorder characterized by myoclonic seizures, ataxia, muscle weakness, and neurological deterioration, caused by mutations in mitochondrial DNA, particularly the MT-TK gene encoding tRNA-lysine, and should be managed with anticonvulsants like levetiracetam, topiramate, or zonisamide, and supplements like coenzyme Q10, L-carnitine, and riboflavin to improve mitochondrial function and energy production, as recommended by recent studies 1, 2.

Key Features of MERRF

  • Myoclonic seizures
  • Ataxia
  • Muscle weakness
  • Neurological deterioration
  • Caused by mutations in mitochondrial DNA, particularly the MT-TK gene encoding tRNA-lysine

Treatment of MERRF

  • Anticonvulsants: levetiracetam, topiramate, zonisamide, piracetam, and benzodiazepines are recommended 1
  • Supplements: coenzyme Q10, L-carnitine, and riboflavin may help improve mitochondrial function and energy production 3
  • Physical therapy to maintain mobility and muscle strength
  • Occupational therapy to assist with daily activities
  • Genetic counseling for affected families since mitochondrial disorders are maternally inherited

Recent Studies

  • A 2022 study found that rapamycin may be a promising therapeutic option for MERRF, as it can improve mitochondrial function and energy production 4
  • A 2019 study recommended levetiracetam, topiramate, zonisamide, and piracetam as first-line antiepileptic drugs for the treatment of myoclonic epilepsy in MERRF syndrome 2
  • A 2017 study emphasized the importance of avoiding mitochondrion-toxic agents, such as valproate, carbamazepine, and phenytoin, in the treatment of MERRF syndrome 1

References

Research

Pharmacotherapeutic management of epilepsy in MERRF syndrome.

Expert opinion on pharmacotherapy, 2019

Research

[Myoclonus epilepsy with ragged-red fibers: a case report and literature review].

Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2015

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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