TY - CHAP M1 - Book, Section TI - Complex II Deficiency A1 - Bissonnette, Bruno A1 - Luginbuehl, Igor A1 - Marciniak, Bruno A1 - Dalens, Bernard J. Y1 - 2006 N1 - T2 - Syndromes: Rapid Recognition and Perioperative Implications AB - Complex II is, as in Complex I, caused by mutations in nDNA. This mutation is defined as a “direct hit" in the genes that encode subunits of respiratory chains complexes. It affects the enzyme succinate CoQ reductase which is responsible for the transfer of electrons by the reduction of succinate to fumarate in the electron chain pathway (see Table C-2). Deficiency of complex II is characterized by highly variable phenotypic expression. The clinical features include encephalomyopathy, failure to thrive, severe developmental delay, muscle hypotonia, lethargy, respiratory failure, ataxia, and myoclonic seizures. The presence of lactic acidosis is common. The most frequent clinical condition is Leigh syndrome. See Table C-4. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/18 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=58067164 ER -