Kearns-Sayer syndrome

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Synonyms: Kearns Syndrome, Kearn-Sayre Mitochondrial Cytopathy, Kearns' Syndrome, Kearns-Sayre-Shy-Daroff Syndrome

Kearns-Sayer syndrome is a mitochondrial disorder featuring the triad of: [1]

  • chronic progressive external ophthalmoplegia
  • Cardiomyopathies with conduction block
  • Retinitis pigmentosa

Disease onset is in the first or second decade.

  • Elevated CSF protein
  • sensorineural deafness
  • seizures
  • pyramidal signs may also be present
  • Ragged-red fibers are found on muscle biopsy.
  1. Adams et al., Principles of Neurology, 6th ed, p984