Disease Directory Leigh Syndrome
Mitochondrial

Leigh Syndrome

Also known as: subacute necrotizing encephalomyelopathy, Leigh disease

Prevalence

Approximately 1 in 40,000 live births

Onset

Infantile (typically first 2 years of life); rarely adult onset

Type

Rare mitochondrial encephalopathy

Gene

MT-ATP6, SURF1, SDHA (multiple)

About Leigh Syndrome

Leigh syndrome is a severe, early-onset progressive neurodegenerative disorder caused by defects in mitochondrial energy production, resulting in characteristic bilateral symmetric lesions in the brainstem and basal ganglia. It is genetically heterogeneous, with causative mutations identified in both mitochondrial and nuclear DNA affecting multiple oxidative phosphorylation complexes. Prognosis is poor, with most affected children surviving only into early childhood, though adult-onset variants have been described.

Common Clinical Features

Psychomotor regression or developmental delay Hypotonia Brainstem dysfunction (respiratory irregularities, swallowing difficulties) Lactic acidosis Seizures Ophthalmoplegia and nystagmus Characteristic bilateral lesions on brain MRI

Clinical Trial Eligibility Tips

What to know before applying to Leigh Syndrome trials.

Brain MRI demonstrating bilateral symmetric signal abnormalities in basal ganglia and/or brainstem is a key diagnostic criterion required for enrolment; ensure recent neuroimaging is available.

Given genetic heterogeneity, comprehensive mitochondrial gene panel or whole exome sequencing results are increasingly required to stratify participants by genetic subtype.

Leigh syndrome progression is episodic; enrolment windows may specify a stable neurological baseline for a minimum period to allow meaningful outcome assessment.

Patient Resources

Patient Organization

United Mitochondrial Disease Foundation

Visit website ↗

Natural History Registry

Leigh Syndrome Patient Registry (Global Leigh Map)

Join registry ↗

Orphanet

European reference resource for rare diseases (ORPHA:506)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

Search NORD ↗

Find recruiting Leigh Syndrome trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Leigh Syndrome. Updated daily.

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