@article {Nemr:2025:2637-8329:64, title = "Mitochondrial Complex I Deficiency Involving the Brainstem", journal = "Neurographics", parent_itemid = "infobike://asnr/ng", publishercode ="asnr", year = "2025", volume = "15", number = "2", publication date ="2025-04-01T00:00:00", pages = "64-66", itemtype = "ARTICLE", issn = "2637-8329", eissn = "2637-8329", url = "https://asnr.publisher.ingentaconnect.com/content/asnr/ng/2025/00000015/00000002/art00003", doi = "doi:10.3174/ng.2400037", keyword = "FLAIR = Fluid-Attenuated Inversion Recovery, MRI = Magnetic Resonance Imaging, EEG = Electroencephalogram, DWI = Diffused-weighted Imaging", author = "Nemr, C. and Chen, J.D. and Allam, T.", abstract = "Mitochondrial diseases are rare genetic disorders caused by mutations in nuclear or mitochondrial genes. We present the first known case of mitochondrial complex I deficiency in the radiology literature, a rarer disorder in neonates. Patients may exhibit progressive brainstem dysfunction, including oculomotor abnormalities, bulbar symptoms, and respiratory difficulties, without basal ganglia lesions. A key distinguishing feature is the unique radiologic pattern of brainstem involvement without remarkable basal ganglia abnormalities.", }