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Comment & Response |

Nitric Oxide Deficiency Triggering Strokelike Episodes—Reply

Mary Kay Koenig, MD1
[+] Author Affiliations
1The University of Texas Medical School at Houston
JAMA Neurol. 2016;73(8):1030. doi:10.1001/jamaneurol.2016.1649.
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In Reply We thank Finsterer and Zarrouk-Mahjoub for their interest in our article1 and direct them to our introduction to address most of their concerns. They mention that there are examples in the literature where patients experiencing a strokelike episode completely recover. We agree with this statement. Our article stated that “recovery from strokelike episodes in MELAS [mitochondrial encephalomyopathy with lactic acidosis and strokelike episodes] is typically rapid and complete early in the disease.”1


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August 1, 2016
Josef Finsterer, MD, PhD; Sinda Zarrouk-Mahjoub, PhD
1Krankenanstalt Rudolfstiftung, Vienna
2Genomics Platform, Pasteur Institute of Tunis, Tunisia
JAMA Neurol. 2016;73(8):1029-1030. doi:10.1001/jamaneurol.2016.1646.
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