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kearns sayer syndrome A mitochondrial disorder featuring the triad of chronic progressive external ophthalmoplegia, cardiomyopathy with conduction block ( heart block), and retinitis pigmentosa. Disease onset is in the first or second decade. Elevated CSF protein, sensorineural deafness, seizures, and pyramidal signs may also be present. Ragged-red fibers are found on muscle biopsy. (Adams et al., Principles of Neurology, 6th ed, p984)


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Additional comments :
(Kearns-Sayre-Shy-Daroff Syndrome)


See also:
Heart Block, Retinitis Pigmentosa, Ophthalmoplegia

Articles



PubmedDelayed diagnosis of Kearns-Sayre syndrome in a 38-year-old male patient: a case report.
Authors:  Yerdelen D, Koc F, Koc Z
Journal: Int J Neurosci

PubmedCoinheritance of long QT syndrome and Kearns-Sayre syndrome.
Authors:  Skinner JR, Yang T, Purvis D, Chung SK, Roden DM, Rees MI
Journal: Heart Rhythm

PubmedMetabolic cardiomyopathy and mitochondrial disorders in the pediatric intensive care unit.
Authors:  Kane JM, Rossi J, Tsao S, Burton BK
Journal: J Pediatr

PubmedKearns-Sayre sindrome with hypomagnesemia and cardiac block.
Authors:  Berio A, Oliaro E, Piazzi A
Journal: Panminerva Med

PubmedSpinocerebellar ataxia type 7 mimicking Kearns-Sayre syndrome: a clinical diagnosis is desirable.
Authors:  Gupta SN, Marks HG
Journal: J Neurol Sci

PubmedOld versus new antiepileptic drugs: the SANAD study.
Authors:  Hadzi? N, Vara R, Raiman J, Mieli-Vergani G
Journal: Lancet

PubmedCraniofacial abnormalities in a patient with cytochrome-c-oxidase deficiency subsequently developing Kearns-Sayre syndrome.
Authors:  Berio A, Piazzi A
Journal: Panminerva Med

PubmedA 9-year-old boy with labored breathing.
Authors:  Listernick R
Journal: Pediatr Ann

PubmedThree cases of Kearns-Sayre syndrome with cardiac blocks.
Authors:  Berio A, Oliaro E, Piazzi A
Journal: Panminerva Med

PubmedChronic progressive ophthalmoplegia with large-scale mtDNA rearrangement: can we predict progression?
Authors:  Auré K, Ogier de Baulny H, Laforęt P, Jardel C, Eymard B, Lombčs A
Journal: Brain

PubmedThe neurological evolution of Pearson syndrome: case report and literature review.
Authors:  Lee HF, Lee HJ, Chi CS, Tsai CR, Chang TK, Wang CJ
Journal: Eur J Paediatr Neurol

PubmedClinical evolution of Kearns-Sayre syndrome with polyendocrinopathy and respiratory failure.
Authors:  Sanaker PS, Husebye ES, Fondenes O, Bindoff LA
Journal: Acta Neurol Scand Suppl

PubmedFacial anomalies in a patient with cytochrome-oxidase deficiency and subsequent Kearns-Sayre syndrome with growth hormone deficiency.
Authors:  Berio A, Piazzi A
Journal: Minerva Med

PubmedThe clinical diagnosis and molecular genetics of kearns-sayre syndrome: a complex mitochondrial encephalomyopathy.
Authors:  Maceluch JA, Niedziela M
Journal: Pediatr Endocrinol Rev

Pubmed[Kearns-Sayre syndrome: recurrent syncope and atrial flutter]
Authors:  Hernández-Luis C, García-Morán E, Rubio-Sanz J, Fernández-Avilés F
Journal: Rev Esp Cardiol

PubmedCombined cyclic vomiting and Kearns-Sayre syndromes.
Authors:  Boles RG, Baldwin EE, Prezant TR
Journal: Pediatr Neurol

PubmedTorsades de pointes in a patient with Kearns-Sayre syndrome: a fortunate finding.
Authors:  Subbiah RN, Kuchar D, Baron D
Journal: Pacing Clin Electrophysiol

PubmedKearns-Sayre syndrome, compensated hypothyroidism and complete atrio-ventricular block.
Authors:  Berio A, Piazzi A
Journal: Panminerva Med

PubmedMitochondrial DNA deletions inhibit proteasomal activity and stimulate an autophagic transcript.
Authors:  Alemi M, Prigione A, Wong A, Schoenfeld R, DiMauro S, Hirano M, Taroni F, Cortopassi G
Journal: Free Radic Biol Med

PubmedPathophysiology and management of syncope in Kearns-Sayre syndrome.
Authors:  Letsas KP, Efremidis M, Pappas LK, Gavrielatos G, Sideris A, Charitos C
Journal: Am Heart Hosp J

PubmedFunctional delivery of a cytosolic tRNA into mutant mitochondria of human cells.
Authors:  Mahata B, Mukherjee S, Mishra S, Bandyopadhyay A, Adhya S
Journal: Science

PubmedPersistent diffusion abnormalities in the brain stem of three children with mitochondrial diseases.
Authors:  Sakai Y, Kira R, Torisu H, Ihara K, Yoshiura T, Hara T
Journal: AJNR Am J Neuroradiol

Pubmed[Kearns-Sayre syndrome]
Authors:  Furuto-Kato S
Journal: Nippon Rinsho

PubmedRecurrent pancreatitis in mitochondrial cytopathy.
Authors:  Debray FG, Drouin E, Herzog D, Lortie A, Lambert M, Garel L, Mitchell GA, Michaud JL
Journal: Am J Med Genet A

Pubmed[Mitochondrial DNA deletions in Kearns-Sayre syndrome]
Authors:  Carod-Artal FJ, Lopez Gallardo E, Solano A, Dahmani Y, Herrero MD, Montoya J
Journal: Neurologia

Pubmed[Kearns-Sayre syndrome]
Authors:  Berio A, Piazzi A
Journal: Pediatr Med Chir

PubmedAtypical MRI findings in Kearns-Sayre syndrome: T2 radial stripes.
Authors:  Hourani RG, Barada WM, Al-Kutoubi AM, Hourani MH
Journal: Neuropediatrics

Pubmed[The outcome of pregnancy and delivery in primigravid pregnancy with Kearn-Sayre's syndrome]
Authors:  Krzemieniewska J, Wilczy?ski A, Zalewska D, Grybo? M, Grybo?-Jagielska A
Journal: Ginekol Pol

PubmedKearns Sayre syndrome: an unusual form of mitochondrial diabetes.
Authors:  Laloi-Michelin M, Virally M, Jardel C, Meas T, Ingster-Moati I, Lombčs A, Massin P, Chabriat H, Tielmans A, Mikol J, Guillausseau PJ
Journal: Diabetes Metab

PubmedUnusual clinical presentation of a patient carrying a novel single 1.8 kb deletion of mitochondrial DNA.
Authors:  Zoccolella S, Torraco A, Amati A, Lamberti P, Serlenga L, Papa S, Petruzzella V
Journal: Funct Neurol

PubmedA case of Kearns-Sayre sindrome with autoimmune thyroiditis and complete atrio-ventricular block.
Authors:  Berio A, Piazzi A
Journal: Minerva Cardioangiol

Pubmed"Bartter-like" phenotype in Kearns-Sayre syndrome.
Authors:  Emma F, Pizzini C, Tessa A, Di Giandomenico S, Onetti-Muda A, Santorelli FM, Bertini E, Rizzoni G
Journal: Pediatr Nephrol

PubmedCerebral folate deficiency and leukoencephalopathy caused by a mitochondrial DNA deletion.
Authors:  Pineda M, Ormazabal A, López-Gallardo E, Nascimento A, Solano A, Herrero MD, Vilaseca MA, Briones P, Ibáńez L, Montoya J, Artuch R
Journal: Ann Neurol

PubmedPrimary open angle glaucoma in a case of mitochondrial encephalomyopathy (Kearns-Sayre syndrome).
Authors:  Frezzotti P, Frezzotti R
Journal: Eur J Ophthalmol

PubmedRe: deterioration of Kearns-Sayre syndrome following articaine administration for local anesthesia.
Authors:  Stehr SN, Oertel R, Schindler C, Hübler M
Journal: Clin Neuropharmacol

Pubmed[Mitochondrial respiratory chain diseases. Evaluation and variability in 52 patients]
Authors:  Arpa-Gutiérrez FJ, Cruz-Martínez A, Campos-González Y, Gutiérrez-Molina M, Santiago-Pérez S, Pérez-Conde MC, López-Pajares MR, Martín-Casarrubias MA, Rubio-Muńoz JC, del Hoyo P, Arpa-Fernández A, Arenas-Barbero J
Journal: Rev Neurol

PubmedTherapeutic approach in a case of Pearson's syndrome.
Authors:  Zaffanello M, Zamboni G
Journal: Minerva Pediatr

Pubmed[Surgical treatment of acquired myogenic eyelid ptosis]
Authors:  Becerra EM, Blanco G, Muińos Y, Bianciotto C
Journal: Arch Soc Esp Oftalmol

PubmedDeterioration of Kearns-Sayre syndrome following articaine administration for local anesthesia.
Authors:  Finsterer J, Haberler C, Schmiedel J
Journal: Clin Neuropharmacol

PubmedKearns-Sayre syndrome: a case report and review of cardiovascular complications.
Authors:  Young TJ, Shah AK, Lee MH, Hayes DL
Journal: Pacing Clin Electrophysiol

PubmedKearns-Sayre syndrome associated with trifascicular block and QT prolongation.
Authors:  Karanikis P, Korantzopoulos P, Kountouris E, Dimitroula V, Patsouras D, Pappa E, Siogas K
Journal: Int J Cardiol

Pubmed[Cardiac involvement in Kearns-Sayre syndrome]
Authors:  Barrera-Ramírez CF, Barragán-Campos HM, Ilarraza H, Iturralde P, Avila-Casado MC, Oseguera J
Journal: Rev Esp Cardiol

PubmedSensorineural hearing loss in patients with chronic progressive external ophthalmoplegia or Kearns-Sayre syndrome.
Authors:  Kornblum C, Broicher R, Walther E, Herberhold S, Klockgether T, Herberhold C, Schröder R
Journal: J Neurol

PubmedMRI findings in an atypical case of Kearns-Sayre syndrome: a case report.
Authors:  Sacher M, Fatterpekar GM, Edelstein S, Sansaricq C, Naidich TP
Journal: Neuroradiology

Pubmed[Phenotype heterogeneity associated with mitochondrial DNA A3243G mutation]
Authors:  Zhang Y, Wang ZX, Niu SL, Xu YF, Pei P, Yuan Y, Yang YL, Qi Y
Journal: Zhongguo Yi Xue Ke Xue Yuan Xue Bao

PubmedPrevalence of large-scale mitochondrial DNA deletions in an adult Finnish population.
Authors:  Remes AM, Majamaa-Voltti K, Kärppä M, Moilanen JS, Uimonen S, Helander H, Rusanen H, Salmela PI, Sorri M, Hassinen IE, Majamaa K
Journal: Neurology

PubmedMitochondrial muscle pathology.
Authors:  Patterson K
Journal: Pediatr Dev Pathol

PubmedCorrection of translational defects in patient-derived mutant mitochondria by complex-mediated import of a cytoplasmic tRNA.
Authors:  Mahata B, Bhattacharyya SN, Mukherjee S, Adhya S
Journal: J Biol Chem

PubmedAnesthetic management for cardioverter-defibrillator implantation in a patient with Kearns-Sayre syndrome.
Authors:  Hara K, Sata T, Shigematsu A
Journal: J Clin Anesth

Pubmed'Cerebral palsy' due to mitochondrial cytopathy.
Authors:  Mordekar SR, Baxter PS
Journal: J Paediatr Child Health

PubmedCommon and cell type-specific responses of human cells to mitochondrial dysfunction.
Authors:  Miceli MV, Jazwinski SM
Journal: Exp Cell Res

Pubmed[Complete heart blockade, external ophthalmoplegia, and pigmentary retinitis]
Authors:  Rodríguez Blanco V, Möller Bustinza I, González Camino F, Ablanedo Ablanedo P, Casares García G
Journal: Rev Clin Esp

PubmedKetogenic treatment reduces deleted mitochondrial DNAs in cultured human cells.
Authors:  Santra S, Gilkerson RW, Davidson M, Schon EA
Journal: Ann Neurol

PubmedClinical features of A3243G mitochondrial tRNA mutation.
Authors:  Chae JH, Hwang H, Lim BC, Cheong HI, Hwang YS, Kim KJ
Journal: Brain Dev

PubmedKearns-Sayre syndrome -3 case reports and review of clinical feature.
Authors:  Park SB, Ma KT, Kook KH, Lee SY
Journal: Yonsei Med J

PubmedRisk of developing a mitochondrial DNA deletion disorder.
Authors:  Chinnery PF, DiMauro S, Shanske S, Schon EA, Zeviani M, Mariotti C, Carrara F, Lombes A, Laforet P, Ogier H, Jaksch M, Lochmüller H, Horvath R, Deschauer M, Thorburn DR, Bindoff LA, Poulton J, Taylor RW, Matthews JN, Turnbull DM
Journal: Lancet

PubmedClinical laboratory monitoring of coenzyme Q10 use in neurologic and muscular diseases.
Authors:  Steele PE, Tang PH, DeGrauw AJ, Miles MV
Journal: Am J Clin Pathol

Pubmed[Kearns-Sayre syndrome associated with growth hormone deficiency]
Authors:  De Sanctis V, Calzolari F, Piazzi A, Berio A
Journal: Pediatr Med Chir

PubmedMitochondrial DNA deletion in a child with megaloblastic anemia and recurrent encephalopathy.
Authors:  Akman CI, Sue CM, Shanske S, Tanji K, Bonilla E, Ojaimi J, Krishna S, Schubert R, DiMauro S
Journal: J Child Neurol

Pubmed[Pulmonary thromboembolism as a late complication of mitochondrial myopathy (Kearns-Sayer syndrome ]
Authors:  Fijo?ek J, Wiatr E, Wiechecka A, Torbicki A, Biederman A, Mickielewicz A, Roszkowski-Sliz K
Journal: Pneumonol Alergol Pol

PubmedA novel 7301-bp deletion in mitochondrial DNA in a patient with Kearns-Sayre syndrome, diabetes mellitus, and primary amenorrhoea.
Authors:  De Block CE, De Leeuw IH, Maassen JA, Ballaux D, Martin JJ
Journal: Exp Clin Endocrinol Diabetes

PubmedPolarographic evaluation of mitochondrial enzymes activity in isolated mitochondria and in permeabilized human muscle cells with inherited mitochondrial defects.
Authors:  Wenchich L, Drahota Z, Honzík T, Hansíková H, Tesarová M, Zeman J, Houstek J
Journal: Physiol Res

PubmedCompensatory amplification of mtDNA in a patient with a novel deletion/duplication and high mutant load.
Authors:  Wong LJ, Perng CL, Hsu CH, Bai RK, Schelley S, Vladutiu GD, Vogel H, Enns GM
Journal: J Med Genet

PubmedIdentical large scale rearrangement of mitochondrial DNA causes Kearns-Sayre syndrome in a mother and her son.
Authors:  Puoti G, Carrara F, Sampaolo S, De Caro M, Vincitorio CM, Invernizzi F, Zeviani M
Journal: J Med Genet

PubmedDetection of deleted mitochondrial DNA in Kearns-Sayre syndrome using laser capture microdissection.
Authors:  Pistilli D, di Gioia CR, D'Amati G, Sciacchitano S, Quaglione R, Quitadamo R, Casali C, Gallo P, Santorelli FM
Journal: Hum Pathol

PubmedIs there a final common pathway in mitochondrial encephalomyopathies? Considerations based on an autopsy case of Kearns-Sayre syndrome.
Authors:  Müller W, Mennel HD, Bewermeyer K, Bewermeyer H
Journal: Clin Neuropathol

PubmedKearns-Sayre syndrome, abnormal corneal endothelium and normal tension glaucoma.
Authors:  Zarnowski T, Jaksch M, Rejdak R, Zagórski Z
Journal: Acta Ophthalmol Scand

PubmedSustained polymorphic ventricular tachycardia unassociated with QT prolongation or bradycardia in the Kearns-Sayre syndrome.
Authors:  Oginosawa Y, Abe H, Nagatomo T, Mizuki T, Nakashima Y
Journal: Pacing Clin Electrophysiol

Pubmed[Maxillo-facial abnormalities in Kearns-Sayre syndrome]
Authors:  Piazzi A, Berio A
Journal: Pediatr Med Chir

PubmedA novel mitochondrial tRNA(Leu(UUR)) mutation in a patient with features of MERRF and Kearns-Sayre syndrome.
Authors:  Nishigaki Y, Tadesse S, Bonilla E, Shungu D, Hersh S, Keats BJ, Berlin CI, Goldberg MF, Vockley J, DiMauro S, Hirano M
Journal: Neuromuscul Disord

PubmedCharacterisation of repeat and palindrome elements in patients harbouring single deletions of mitochondrial DNA.
Authors:  Solano A, Gámez J, Carod FJ, Pineda M, Playán A, López-Gallardo E, Andreu AL, Montoya J
Journal: J Med Genet

PubmedA review of cochlear implantation in mitochondrial sensorineural hearing loss.
Authors:  Sinnathuray AR, Raut V, Awa A, Magee A, Toner JG
Journal: Otol Neurotol

Pubmed[Diagnostic and therapeutic problems in chronic progressive external ophthalmoplegia (CPEO)]
Authors:  Sommer F, Fötzsch R, Pillunat LE, Wollensak G
Journal: Klin Monatsbl Augenheilkd

PubmedExecutive and visuospatial deficits in patients with chronic progressive external ophthalmoplegia and Kearns-Sayre syndrome.
Authors:  Bosbach S, Kornblum C, Schröder R, Wagner M
Journal: Brain

PubmedPathogenic role of mtDNA duplications in mitochondrial diseases associated with mtDNA deletions.
Authors:  Odoardi F, Rana M, Broccolini A, Mirabella M, Modoni A, D'Amico A, Papacci M, Tonali P, Servidei S, Silvestri G
Journal: Am J Med Genet A

PubmedBilateral spontaneous corneal perforation associated with complete external ophthalmoplegia in mitochondrial myopathy (kearns-sayre syndrome).
Authors:  Schmitz K, Lins H, Behrens-Baumann W
Journal: Cornea

Pubmed[Pigmented retinopathy as a presenting sign of mitochondrial encephalomyopathy without external ophthalmoplegia]
Authors:  Staudt S, Joussen AM, Rating D, Wilichowski E, Kolling G, Holz FG
Journal: Ophthalmologe

PubmedMitochondrial cytopathies.
Authors:  Schmiedel J, Jackson S, Schäfer J, Reichmann H
Journal: J Neurol

PubmedCorneal decompensation in a boy with Kearns-Sayre syndrome.
Authors:  Boonstra F, Claerhout I, Hol F, Smit G, van Collenburg J, Meire F
Journal: Ophthalmic Genet

PubmedCardiomyopathy associated with neurologic disorders and mitochondrial phenotype.
Authors:  Marín-García J, Goldenthal MJ, Filiano JJ
Journal: J Child Neurol

PubmedA case of Kearns-Sayre syndrome with the 4,977-bp common deletion associated with a novel 7,704-bp deletion.
Authors:  Vázquez-Acevedo M, Vázquez-Memije ME, Mutchinick OM, Morales JJ, García-Ramos G, González-Halphen D
Journal: Neurol Sci

Pubmed[Pacemaker therapy in Kearns-Sayre syndrome]
Authors:  Usui M, Takagi Y, Masumoto H, Ueda U
Journal: Kyobu Geka

PubmedSevere mitochondrial cytopathy with complete A-V block, PEO, and mtDNA deletions.
Authors:  Marín-García J, Goldenthal MJ, Flores-Sarnat L, Sarnat HB
Journal: Pediatr Neurol

PubmedMitochondrial disease mimicking polymyositis: a case report.
Authors:  Corrado A, Cantatore FP, Serlenga L, Amati A, Petruzzella V, Lapadula G
Journal: Clin Rheumatol

PubmedChronic progressive external ophthalmoplegia.
Authors:  Lee AG, Brazis PW
Journal: Curr Neurol Neurosci Rep

PubmedNeurological mitochondrial cytopathies.
Authors:  Mehndiratta MM, Agarwal P, Tatke M, Krishnamurthy M
Journal: Neurol India

PubmedA case of Kearns-Sayre syndrome with autoimmune thyroiditis and possible Hashimoto encephalopathy.
Authors:  Berio A, Piazzi A
Journal: Panminerva Med

Pubmed[Heart block]
Authors:  Nakano K, Nakayama T, Sasaki K
Journal: Nippon Rinsho

Pubmed[Parathyroid dysfunction and mitochondrial diseases]
Authors:  Ohno Y, Aoki N
Journal: Nippon Rinsho

Pubmed[Dysphagia]
Authors:  Ibi T, Nakao N, Sahashi K
Journal: Nippon Rinsho

Pubmed[Mitochondria and conduction disturbance]
Authors:  Obayashi T, Ito T
Journal: Nippon Rinsho

Pubmed[Ophthalmoplegia]
Authors:  Terada M, Mitsunami K, Maeda K, Yasuda H
Journal: Nippon Rinsho

Pubmed[Encephalomyopathy]
Authors:  Nakase H
Journal: Nippon Rinsho

Pubmed[Single deletion of mitochondrial DNA: CPEO, Kearns-Sayre syndrome]
Authors:  Arisato T, Higuchi I, Nakagawa M
Journal: Nippon Rinsho

Pubmed[Autosomal recessive chronic progressive external ophthalmoplegia]
Authors:  Inose M, Higuchi I
Journal: Nippon Rinsho

Pubmed[Autosomal dominant chronic progressive external ophthalmoplegia]
Authors:  Higuchi I, Nakagawa M
Journal: Nippon Rinsho

Pubmed[Neuroimaging of mitochondrial diseases]
Authors:  Goto T, Momoi MY
Journal: Nippon Rinsho

PubmedAlarming atrioventricular block and mitral valve prolapse in the Kearns-Sayre syndrome.
Authors:  Katsanos KH, Pappas CJ, Patsouras D, Michalis LK, Kitsios G, Elisaf M, Tsianos EV
Journal: Int J Cardiol

Pubmed[Disorders of mitochondrial energy metabolism in patients with the Kearns-Sayre syndrome]
Authors:  Capková M, Tesarová M, Wenchich L, Cerná L, Hansíková H, H?lková H, Hrubá E, Elleder M, Zeman J
Journal: Cas Lek Cesk

PubmedKearns-Sayre syndrome: association with long QT syndrome?
Authors:  Rashid A, Kim MH
Journal: J Cardiovasc Electrophysiol





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