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Complicated Migraine is a core syndrome of mitochondrial disease. We report a family with the clinical manifestations of migraine, increased serum lactate, shortness of stature, hearing and memory impairment with maternal inheritance. The proband was revealed to have hypometabolism through PGD-PET brain scanning, and focal dystonia, tunnel vision, and early dementia in clinic. In conclusion, A3111T homoplasmy mutation in the mitochondrial DNA 16S-rRNA gene was found in this family and highlight the possible existence of mitochondrial migraine.

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