Recurrent brain hematomas in MELAS associated with an ND5 gene mitochondrial mutation

Abstract
This case history was briefly reported4 before the mtDNA mutation was identified. A nonhypertensive 31-year-old woman had presented with repeated, generalized or left-sided seizures preceded by headache. CT scan showed a right anterior border zone infarct. The carotid angiogram was normal. At age 37, neurologic examination showed gait ataxia, a spastic quadriparesis predominant on the left side, bilateral …