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Neuromuscular diseases

MELAS syndrome

A mitochondrial disease that affects many organs. Stroke-like episodes, seizures and muscle weakness can occur.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Neuromuscular diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

There is a change in the mitochondria's own DNA; mitochondria produce energy in the cells. As a result, the cells cannot produce enough energy. The brain and muscles are affected most. A substance called lactic acid can build up in the blood.

Which symptoms can occur?

Symptoms often begin in a child who was developing normally. But they can appear at any age.

  • Stroke-like episodes: temporary weakness on one side, vision problems (in most, before the age of 40)
  • Severe, migraine-like headaches
  • Vomiting and loss of appetite
  • Seizures, also called fits
  • Muscle weakness and tiring easily
  • Hearing loss
  • Short stature
  • Diabetes, heart and kidney problems (less common)

How is it diagnosed?

The lactate level in the blood is checked. During an episode, typical changes are seen on a brain MRI. The diagnosis is made with a genetic test that looks at mitochondrial DNA. Sometimes a muscle biopsy, which means taking a small piece of muscle, is needed.

Treatment and care

Treatment is mostly aimed at symptoms and support. Some amino acid and vitamin supplements can be used to treat and prevent episodes. Seizures, diabetes and hearing loss are treated separately. Vaccines help reduce episodes triggered by illnesses with fever. Some medicines can harm the mitochondria. The eyes, ears and heart are checked once a year. Research is ongoing. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

MELAS is passed from the mother to the child. This is called mitochondrial inheritance. A mother with the gene change passes it on to all her children. But the severity of symptoms in the children can differ greatly. Fathers do not pass this disease on to their children. Sometimes it appears through a new change, without anyone in the family having it. Genetic counselling is recommended.

Source: MedlinePlus Genetics: MELAS · GeneReviews: MELAS

Key facts

How common is it?
Prevalence: 1-9 per 1 000 000 (Europe)
When does it usually start?
Adolescence, Adulthood, Childhood
Gene(s) involved
MT-CO1, MT-CO2, MT-ND1, MT-ND4, MT-ND5, MT-ND6

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about MELAS

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 4 active interventional studies for this disease. 1 is recruiting now; none has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Neuromuscular diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:550

No separate ICD-11 code; WHO classifies this disease under: 8C73.Y

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.