A 44 yr old female collapsed unconscious brought to a tertiary care set up and on /e paresis LL,muscle biopsy report enclosed in ICU ,suggestions for Diagnosis and further management

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Muscle biopsy is suggestive of mitochondrial cytopathy ,, although not definitive There is no specific treatment for mitochondrial didorder In the present case what was the cause of collapse,, syncope?? Seizure?? We can only treat if we establish the cause of symptom What is the MRI showing What are the findings of 2d echo
Mitochondrial cytopathopathy.
can you explain this.I was thinking idiopathic progressive myopathy
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