{"id":"https://openalex.org/W1998090132","doi":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","title":"Mania as a first presentation in mitochondrial myopathy","display_name":"Mania as a first presentation in mitochondrial myopathy","publication_year":2006,"publication_date":"2006-11-15","ids":{"openalex":"https://openalex.org/W1998090132","doi":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","mag":"1998090132","pmid":"https://pubmed.ncbi.nlm.nih.gov/17109717"},"language":"en","primary_location":{"id":"doi:10.1111/j.1440-1819.2006.01599.x","doi":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","pdf_url":null,"source":{"id":"https://openalex.org/S111042112","display_name":"Psychiatry and Clinical Neurosciences","issn_l":"1323-1316","issn":["1323-1316","1440-1819"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry and Clinical Neurosciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"SANDEEP GROVER","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SANDEEP GROVER","raw_affiliation_strings":["Departments of Psychiatry,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Psychiatry,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013341567","display_name":"Susanta Kumar Padhy","orcid":"https://orcid.org/0000-0002-9905-7984","observed_orcids":["https://orcid.org/0000-0002-9905-7984"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SUSANTA KUMAR PADHY","raw_affiliation_strings":["Departments of Psychiatry,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Psychiatry,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103862291","display_name":"Chandi Prasad Das","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"CHANDI PRASAD DAS","raw_affiliation_strings":["Neurology and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology and","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113850641","display_name":"Rakesh Kumar Vasishta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45294948","display_name":"Post Graduate Institute of Medical Education and Research","ror":"https://ror.org/009nfym65","country_code":"IN","type":"education","lineage":["https://openalex.org/I45294948"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"RAKESH KUMAR VASISHTA","raw_affiliation_strings":["Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India","institution_ids":["https://openalex.org/I45294948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048023793","display_name":"Pratap Sharan","orcid":"https://orcid.org/0000-0003-2437-6099","observed_orcids":["https://orcid.org/0000-0003-2437-6099"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"PRATAP SHARAN","raw_affiliation_strings":["Departments of Psychiatry,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Psychiatry,","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034875707","display_name":"Subho Chakrabarti","orcid":"https://orcid.org/0000-0001-6023-2194","observed_orcids":["https://orcid.org/0000-0001-6023-2194"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SUBHO CHAKRABARTI","raw_affiliation_strings":["Departments of Psychiatry,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Psychiatry,","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5048023793"],"corresponding_institution_ids":[],"apc_list":{"value":3240,"currency":"USD","value_usd":3240},"apc_paid":null,"fwci":0.4491,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.53805368,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"60","issue":"6","first_page":"774","last_page":"775"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10301","display_name":"Mitochondrial Function and Pathology","score":0.8457000255584717,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10301","display_name":"Mitochondrial Function and Pathology","score":0.8457000255584717,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11027","display_name":"Metabolism and Genetic Disorders","score":0.07109999656677246,"subfield":{"id":"https://openalex.org/subfields/1308","display_name":"Clinical Biochemistry"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10949","display_name":"Genetic Neurodegenerative Diseases","score":0.00570000009611249,"subfield":{"id":"https://openalex.org/subfields/2804","display_name":"Cellular and Molecular Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mitochondrial-myopathy","display_name":"mitochondrial myopathy","score":0.9660000205039978},{"id":"https://openalex.org/keywords/mania","display_name":"mania","score":0.7689999938011169},{"id":"https://openalex.org/keywords/catatonia","display_name":"catatonia","score":0.7310000061988831},{"id":"https://openalex.org/keywords/mitochondrial-encephalomyopathy","display_name":"mitochondrial encephalomyopathy","score":0.718999981880188},{"id":"https://openalex.org/keywords/melas","display_name":"MELAS","score":0.8519999980926514},{"id":"https://openalex.org/keywords/hyperlactatemia","display_name":"hyperlactatemia","score":0.6150000095367432},{"id":"https://openalex.org/keywords/mtdna-mutations","display_name":"mitochondrial DNA mutations","score":0.3779999911785126},{"id":"https://openalex.org/keywords/opisthotonus","display_name":"opisthotonus","score":0.5070000290870667},{"id":"https://openalex.org/keywords/electroconvulsive-therapy","display_name":"electroconvulsive therapy","score":0.5770000219345093},{"id":"https://openalex.org/keywords/mitochondrial-disease","display_name":"mitochondrial disease","score":0.4690000116825104},{"id":"https://openalex.org/keywords/psychomotor-agitation","display_name":"psychomotor agitation","score":0.4169999957084656},{"id":"https://openalex.org/keywords/differential-diagnosis-of-psychosis","display_name":"differential diagnosis of psychosis","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6436966061592102},{"id":"https://openalex.org/C2777614518","wikidata":"https://www.wikidata.org/wiki/Q935710","display_name":"Mitochondrial disease","level":4,"score":0.541168749332428},{"id":"https://openalex.org/C2778567577","wikidata":"https://www.wikidata.org/wiki/Q188611","display_name":"Hypomania","level":5,"score":0.5211839079856873},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.49333062767982483},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.48858341574668884},{"id":"https://openalex.org/C2777330709","wikidata":"https://www.wikidata.org/wiki/Q131543","display_name":"Electroconvulsive therapy","level":3,"score":0.4856795072555542},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.4702063202857971},{"id":"https://openalex.org/C2779799828","wikidata":"https://www.wikidata.org/wiki/Q6881866","display_name":"Mitochondrial encephalomyopathy","level":4,"score":0.4658893644809723},{"id":"https://openalex.org/C2775833069","wikidata":"https://www.wikidata.org/wiki/Q6881881","display_name":"Mitochondrial myopathy","level":4,"score":0.457973450422287},{"id":"https://openalex.org/C2776287708","wikidata":"https://www.wikidata.org/wiki/Q2666433","display_name":"MELAS syndrome","level":5,"score":0.4269428253173828},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.42565464973449707},{"id":"https://openalex.org/C2776809841","wikidata":"https://www.wikidata.org/wiki/Q185935","display_name":"Mania","level":4,"score":0.42267054319381714},{"id":"https://openalex.org/C2780317664","wikidata":"https://www.wikidata.org/wiki/Q1500373","display_name":"Lactic acidosis","level":2,"score":0.4100745916366577},{"id":"https://openalex.org/C2776174506","wikidata":"https://www.wikidata.org/wiki/Q131755","display_name":"Bipolar disorder","level":3,"score":0.3702242970466614},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2703470289707184},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.23928529024124146},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.23826950788497925},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.23334822058677673},{"id":"https://openalex.org/C501734568","wikidata":"https://www.wikidata.org/wiki/Q42918","display_name":"Mutation","level":3,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C24586158","wikidata":"https://www.wikidata.org/wiki/Q27075","display_name":"Mitochondrial DNA","level":3,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001714","descriptor_name":"Bipolar Disorder","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001714","descriptor_name":"Bipolar Disorder","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D001714","descriptor_name":"Bipolar Disorder","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D002389","descriptor_name":"Catatonia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015899","descriptor_name":"Tomography, Emission-Computed, Single-Photon","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017241","descriptor_name":"MELAS Syndrome","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D017241","descriptor_name":"MELAS Syndrome","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1440-1819.2006.01599.x","doi":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1440-1819.2006.01599.x","pdf_url":null,"source":{"id":"https://openalex.org/S111042112","display_name":"Psychiatry and Clinical Neurosciences","issn_l":"1323-1316","issn":["1323-1316","1440-1819"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry and Clinical Neurosciences","raw_type":"journal-article"},{"id":"pmid:17109717","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17109717","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry and clinical neurosciences","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W18522028","https://openalex.org/W1977174816","https://openalex.org/W2009272245","https://openalex.org/W2102166506","https://openalex.org/W2329735145"],"related_works":["https://openalex.org/W2014016753","https://openalex.org/W2045758444","https://openalex.org/W2048494122","https://openalex.org/W2358516243","https://openalex.org/W7095999376","https://openalex.org/W2094193444","https://openalex.org/W1992590123","https://openalex.org/W4284966343","https://openalex.org/W1496839266","https://openalex.org/W2405490280"],"abstract_inverted_index":{"Mitochondrial":[0],"cytopathies":[1],"are":[2],"a":[3,58,148,162],"genetically":[4],"and":[5,32,53,68,100,127,132,159,183,196,220,247,254,292,295,319,337,344,355,370,383,397,405,410,440,464,468,515,541],"phenotypically":[6],"heterogeneous":[7],"group":[8],"of":[9,60,79,88,119,147,177,181,186,192,200,209,217,235,241,273,280,311,322,329,379,415,423,453,485,488,511,518,520,546],"disorders":[10],"that":[11,63,83,459,535],"range":[12],"from":[13],"systemic,":[14],"lethal":[15],"pediatric":[16],"disease":[17,62],"to":[18,41,110,214,229,238,394,399,472,479],"late-onset,":[19],"tissue-specific":[20],"neurodegenerative":[21],"disorders.1":[22],"Neurological":[23],"complications":[24],"such":[25],"as":[26],"mitochondrial":[27,46,61,330,489,547],"encephalomyopathy":[28,548],"with":[29,45,65,76,86,326,366,539],"lactic":[30,438],"acidosis":[31],"stroke":[33],"(MELAS)":[34],"have":[35,230],"been":[36],"described.2":[37],"Psychiatric":[38],"symptoms":[39,87,145,467,481],"reported":[40],"be":[42,497,550],"occasionally":[43],"associated":[44],"myopathies":[47],"include":[48],"dementia,":[49],"atypical":[50,457],"psychosis,":[51],"depression":[52],"schizophrenia-like":[54],"psychosis.3,4":[55],"We":[56],"report":[57,531],"case":[59,494],"presented":[64,75],"manic,":[66],"catatonic":[67,466,480],"neurological":[69,542],"symptoms.":[70,528],"A":[71],"16-year-old":[72],"adolescent":[73],"boy":[74],"an":[77,499],"illness":[78],"8":[80],"months":[81],"duration":[82],"started":[84,154],"acutely":[85],"cheerfulness,":[89],"overtalkativeness,":[90],"overfamiliarity,":[91],"grandiosity,":[92],"imcreased":[93],"self-care,":[94],"echopraxia,":[95],"decreased":[96,112,115],"need":[97],"for":[98,103,135,203,359,403],"sleep":[99],"increased":[101],"appetite":[102],"initial":[104],"4":[105],"weeks":[106],"followed":[107],"by":[108,161,427],"refusal":[109],"eat,":[111],"speech":[113],"output,":[114],"sleep,":[116],"generalized":[117],"rigidity":[118],"all":[120],"four":[121],"limbs,":[122],"left-sided":[123],"limb":[124],"weakness,":[125],"flexion":[126],"internal":[128],"rotation":[129],"at":[130,250],"elbow":[131],"hemiplegic":[133],"gait":[134],"the":[136,173,224,251,270,281,327,492,509,526,533,544],"next":[137],"7":[138],"months.":[139],"The":[140,151,420,447,529],"patient\u2019s":[141],"paternal":[142],"uncle":[143],"had":[144,333,450,462],"suggestive":[146],"psychotic":[149],"illness.":[150],"patient":[152,174,225,449],"was":[153,226,266,364,388,408,418,456,470],"on":[155,315,374,444,474],"multiple":[156],"anticonvulsants,":[157],"antipsychotics":[158],"antidepressants":[160],"general":[163],"physician,":[164],"who":[165],"discontinued":[166],"these":[167],"medications":[168],"after":[169,391],"3":[170],"days":[171],"because":[172],"developed":[175],"drooling":[176],"saliva,":[178],"painful":[179],"hyperextension":[180],"neck":[182],"back,":[184],"worsening":[185],"rigidity,":[187,377],"staring,":[188],"posturing,":[189,233],"stereotypic":[190],"movements":[191],"hand,":[193],"negativism,":[194],"mutism":[195],"impairment":[197,517],"in":[198,285,289,305,413,458,491,502,536],"activities":[199,414],"daily":[201,416],"living,":[202],"which":[204,375],"he":[205,460],"underwent":[206],"five":[207],"sessions":[208],"electroconvulsive":[210],"therapy.":[211],"At":[212],"presentation":[213],"Postgraduate":[215],"Institute":[216],"Medical":[218],"Education":[219],"Research,":[221],"Chandigarh,":[222],"India,":[223],"also":[227],"noted":[228],"gegenhalten,":[231,381],"extensor":[232],"episodes":[234,240,378,431],"opisthotonous":[236],"(up":[237],"40":[239,368],"approx.":[242],"10\u201375":[243],"min":[244],"per":[245],"day)":[246],"dynamic":[248],"contractures":[249,407],"knee,":[252],"ankle":[253,406],"wrist":[255],"joints.":[256],"Routine":[257],"investigations":[258],"did":[259],"not":[260,496],"reveal":[261],"any":[262],"abnormality.":[263],"Serum":[264],"lactate":[265],"elevated":[267],"(approx.":[268],"twice":[269],"upper":[271],"limit":[272],"normal":[274],"range).":[275],"Magnetic":[276],"resonance":[277],"imaging":[278],"(MRI)":[279,506],"brain":[282],"showed":[283,317],"hyperintensities":[284],"bilateral":[286,503],"basal":[287,504],"ganglia":[288,505],"both":[290],"T1":[291],"T2":[293],"images":[294],"single-photon":[296],"emission":[297],"computed":[298],"tomography":[299],"(SPECT)":[300,523],"revealed":[301],"grossly":[302],"impaired":[303],"perfusion":[304,519],"right-sided":[306,521],"thalamus.":[307],"Electron":[308],"microscopic":[309],"examination":[310],"muscle":[312,445],"tissue":[313],"obtained":[314],"biopsy":[316],"sub-sarcolemmal":[318],"inter-myofibrillar":[320],"accumulations":[321],"abnormal-looking":[323],"mitochondria,":[324],"consistent":[325],"diagnosis":[328],"myopathy.":[331],"Patient":[332],"negative":[334],"KF":[335],"ring,":[336],"serum":[338,340],"ceruloplasmin,":[339],"copper,":[341],"urinary":[342],"copper":[343],"liver":[345],"ultrasound":[346],"were":[347,361],"normal.":[348],"Cerebrospinal":[349],"fluid":[350],"cytology,":[351],"biochemistry,":[352],"adenosine":[353],"deaminase,":[354],"polymerase":[356],"chain":[357],"reaction":[358],"tuberculosis":[360],"negative.":[362],"He":[363],"treated":[365],"diazepam":[367,393],"mg/day":[369],"quitiapine":[371],"175":[372],"mg/day,":[373],"his":[376,475],"opisthotonous,":[380],"posturing":[382],"motor":[384],"stereotypy":[385],"improved.":[386],"Improvement":[387],"maintained":[389],"even":[390],"decreasing":[392],"5":[395],"mg":[396],"quetiapine":[398],"100":[400],"mg.":[401],"Physiotherapy":[402],"knee":[404],"initiated":[409],"partial":[411],"improvement":[412],"living":[417],"noted.":[419],"classical":[421],"form":[422],"MELAS":[424,454],"is":[425],"characterized":[426],"early":[428],"onset":[429],"stroke-like":[430],"(before":[432],"age":[433],"40),":[434],"encephalopathy":[435],"(seizures,":[436],"dementia),":[437],"acidosis,":[439],"ragged":[441],"red":[442],"fibers":[443],"biopsy.5":[446],"index":[448,493],"most":[451],"features":[452],"but":[455],"initially":[461],"manic":[463,527],"then":[465],"it":[469],"difficult":[471],"comment":[473],"cognitive":[476],"functions":[477],"(owing":[478],"like":[482],"muteness).":[483],"Absence":[484],"family":[486],"history":[487],"myopathy":[490],"should":[495,549],"considered":[498],"atypicality.2":[500],"Hyperintensities":[501],"may":[507,524],"explain":[508,525],"presence":[510],"prominent":[512],"extrapyramidal":[513],"symptoms,":[514,543],"gross":[516],"thalamus":[522],"present":[530],"highlights":[532],"fact":[534],"patients":[537],"presenting":[538],"psychiatric":[540],"possibility":[545],"considered.":[551]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":4},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}