ANDO: another preentation of mitochondrial dieae

Purpoe To decribe a unique mitochondrial yndrome that may preent with the combination of ocular manifetation, enory ymptom, and peech dyfunction. Deign Cae report. Method Cae report and review of the literature. Reult A 43-year-old man preented with a enory Ataxic Neuropathy, Dyarthria, and Ophthalmoparei (ANDO). Nerve conduction tudie howed a enory ganglionopathy. keletal mucle biopy revealed ragged red fiber, and polymerae chain reaction analyi of the tiue demontrated multiple mitochondrial DNA deletion. Concluion Mitochondrial dieae hould be conidered in cae of external ophthalmoplegia, epecially if a enory ganglionopathy and dyarthria are preent.