Acute encephalopathy of the temporal lobes leading to m.3243A > G. When MELAS is not always MELAS
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The clinical onset of the m.3243A > G MELAS mutation may be a diagnostic challenge.

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In the differential diagnosis of infective encephalitis MELAS should be considered.

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Screening of m.3243 in urine is a fast and economic approach for MELAS diagnosis.

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