epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLCepilepsia-260Research ArticleORIGINAL ARTICLESОРИГИНАЛЬНЫЕ СТАТЬИEPILEPSY IN CHILDREN WITH MYTOCHONDRIAL DISEASES: DIAGNOSTICS AND TREATMENT FEATURESЭПИЛЕПСИЯ У ДЕТЕЙ С МИТОХОНДРИАЛЬНЫМИ ЗАБОЛЕВАНИЯМИ: ОСОБЕННОСТИ ДИАГНОСТИКИ И ЛЕЧЕНИЯЗаваденкоН. Н.ZavadenkoN. N.ХолинА. А.KholinA. A.ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И. Пирогова Минздравсоцразвития России (Москва)РоссияGBOU VPO Russian National Investigational Medical University named after N.I. Pirogov, Ministry of Health and Social Development of the Russian Federation (Moscow)Russian Federation201204092016422127Copyright © Zavadenko N.N., Kholin A.A., 20162016Заваденко Н.Н., Холин А.А.Zavadenko N.N., Kholin A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/260

Mitochondrial diseases (MD) represent a large clinically heterogeneous group of disorders that arise as a result of dysfunction of the mitochondrial respiratory chain. The article discusses clinical features of the MD, accompanying by epilepsy. Two case reports are presented of MELAS syndrome and Alpers-Huttenlocher syndrome. The genetic background of MD is discussed as well as methods for establishing the diagnosis of MD and peculiarities of antiepileptic therapy

митохондриальные болезниэпилепсиясиндром MELASсиндром Альперса-Гуттенлохераантиэпилептические препаратыMitochondrial diseasesepilepsyMELAS syndromeAlpers-Huttenlocher syndromeantiepileptic drugsReferencesМазунин И.О., Володько Н.В., Стариковская Е.Б., Сукерник Р.И. Митохондриальный геном и митохондриальные заболевания человека. Молекулярная биология. 2010; 44 (5): 755-772.Мазунин И.О., Володько Н.В., Стариковская Е.Б., Сукерник Р.И. Митохондриальный геном и митохондриальные заболевания человека. Молекулярная биология. 2010; 44 (5): 755-772.Михайлова С.В., Захарова Е.Ю., Петрухин А.С. Нейрометаболические заболевания у детей и подростков: диагностика и подходы к лечению. М.: Литтерра, 2011, 341 с.Михайлова С.В., Захарова Е.Ю., Петрухин А.С. Нейрометаболические заболевания у детей и подростков: диагностика и подходы к лечению. М.: Литтерра, 2011, 341 с.Мутовин Г.Р. Клиническая генетика. М.: ГЭОТАР-Медиа, 2010, 832 с.Мутовин Г.Р. Клиническая генетика. М.: ГЭОТАР-Медиа, 2010, 832 с.Сухоруков В.С. Очерки митохондриальной патологии. М.: Медпрактика-М, 2011, 287 с.Сухоруков В.С. Очерки митохондриальной патологии. М.: Медпрактика-М, 2011, 287 с.Bindoff LA. Mitochondrial function and pathology in status epilepticus. Epilepsia 2011; 52 (suppl. 8): 6-7.Bindoff LA. Mitochondrial function and pathology in status epilepticus. Epilepsia 2011; 52 (suppl. 8): 6-7.Canafoglia L, Franceschetti S, Antozzi C, Carrara F, Farina L, Granata T, Lamantea E, Savoiardo M, Uziel G, Villani F, Zeviani M, Avanzini G. Epileptic phenotypes associated with mitochondrial disorders. Neurology 2001; 56: 1340-1346.Canafoglia L, Franceschetti S, Antozzi C, Carrara F, Farina L, Granata T, Lamantea E, Savoiardo M, Uziel G, Villani F, Zeviani M, Avanzini G. Epileptic phenotypes associated with mitochondrial disorders. Neurology 2001; 56: 1340-1346.Darin N, Oldfors A, Moslemi AR, Holme E, Tulinius M. The incidence of mitochondrial encephalomyopathies in childhood: clinical features and morphological, biochemical, and DNA anbormalities. Ann. Neurol. 2001; 49: 377-383.Darin N, Oldfors A, Moslemi AR, Holme E, Tulinius M. The incidence of mitochondrial encephalomyopathies in childhood: clinical features and morphological, biochemical, and DNA anbormalities. Ann. Neurol. 2001; 49: 377-383.El Sabbagh S, Lebre A-S, Bahi-Buisson N, Delonlay P, Soufflet C, Boddaert N, Rio M, Rotig A, Dulac O, Munnich A, Desguerre I. Epileptic phenotypes in children with respiratory chain disorders. Epilepsia 2010; 51: 1225-1235.El Sabbagh S, Lebre A-S, Bahi-Buisson N, Delonlay P, Soufflet C, Boddaert N, Rio M, Rotig A, Dulac O, Munnich A, Desguerre I. Epileptic phenotypes in children with respiratory chain disorders. Epilepsia 2010; 51: 1225-1235.Finsterer J. Mitochondriopathies. Eur. J. Neurol. 2004; 11: 163-186.Finsterer J. Mitochondriopathies. Eur. J. Neurol. 2004; 11: 163-186.Lagrue E, Chalon S, Bodard S, Saliba E, Gressens P, Castelnau P. Lamotrigine is neuroprotective in the energy deficiency model of MPTP intoxicated mice. Pediatr. Res. 2007; 62: 14-19.Lagrue E, Chalon S, Bodard S, Saliba E, Gressens P, Castelnau P. Lamotrigine is neuroprotective in the energy deficiency model of MPTP intoxicated mice. Pediatr. Res. 2007; 62: 14-19.Lee Y., Kang H., Lee J., Km S., Kim E., Lee S., Slama A., Kim H. Mitochondrial respiratory chain defects: underlyingetiology in various epileptic conditions. Epilepsia. 2008; 49: 685-690.Lee Y., Kang H., Lee J., Km S., Kim E., Lee S., Slama A., Kim H. Mitochondrial respiratory chain defects: underlyingetiology in various epileptic conditions. Epilepsia. 2008; 49: 685-690.Lheureux P.E., Hantson P. Carnitine in the treatment of valproic acid-induced toxicity. ClinToxicol (Phila). 2009; 47: 101-11.Lheureux P.E., Hantson P. Carnitine in the treatment of valproic acid-induced toxicity. ClinToxicol (Phila). 2009; 47: 101-11.Mancuso M., Galli P., Pizzanelli C., Filosto M., Siciliano G., Murri L. Antimyoclonic effect of levetiracetam in MERRF syndrome. J. Neurol Sci. 2006; 243: 97-99.Mancuso M., Galli P., Pizzanelli C., Filosto M., Siciliano G., Murri L. Antimyoclonic effect of levetiracetam in MERRF syndrome. J. Neurol Sci. 2006; 243: 97-99.Schaefer A.M., McFarland R., Hart Y., Turnbull D.M. Newcastle Mitochondrial Disease Guidelines. Newcastle Mitochondrial Centre, NHS Specialised Services for Rare Mitochondrial Disorders of Adults and Children. 2010; 17 p.Schaefer A.M., McFarland R., Hart Y., Turnbull D.M. Newcastle Mitochondrial Disease Guidelines. Newcastle Mitochondrial Centre, NHS Specialised Services for Rare Mitochondrial Disorders of Adults and Children. 2010; 17 p.Siekevitz P. Powerhouse of the cell. Scientific American 1957; 1: 131-140.Siekevitz P. Powerhouse of the cell. Scientific American 1957; 1: 131-140.Zammit V.A., Ramsay R.R., Bonomini M., Arduini A. Carnitine, mitochondrial function and therapy. Adv. Drug. Deliv. Rev. 2009; 61: 1353-1362.Zammit V.A., Ramsay R.R., Bonomini M., Arduini A. Carnitine, mitochondrial function and therapy. Adv. Drug. Deliv. Rev. 2009; 61: 1353-1362.

The authors declare that there are no conflicts of interest present.