Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a mitochondrial condition with a wide range of neurologic complications, including migraines, seizures, and stroke-like episodes. This case report highlights a rare presentation of bilateral sensory changes related to MELAS and offers an opportunity to consider how a differential diagnosis may need to be modified in patients with underlying mitochondrial disorders. Neurologic symptoms in MELAS may defy classic localization patterns, and early neuroimaging is warranted.

中文翻译：

---

珍珠和牡蛎：患有 MELAS 的青少年男性中风样发作引起的对称性麻木和感觉异常

线粒体脑肌病、乳酸性酸中毒和中风样发作 (MELAS) 综合征是一种线粒体疾病，具有广泛的神经系统并发症，包括偏头痛、癫痫发作和中风样发作。本病例报告强调了与 MELAS 相关的双侧感觉变化的罕见表现，并提供了一个机会来考虑如何在患有潜在线粒体疾病的患者中修改鉴别诊断。MELAS 的神经系统症状可能与经典定位模式不符，因此需要早期神经影像学检查。