Leigh disease can be caused by defects of both nuclear and mitochondrially
encoded genes. One mitochondrial DNA mutation, G14459A, has been associated
with both respiratory chain complex I deficiency and Leber's hereditary op
tic neuropathy, with or without dystonia. Here, we report the occurrence of
this mutation in 3 complex I-deficient patients from 2 separate pedigrees
who presented with Leigh disease, with no evidence or family history of Leb
er's hereditary optic neuropathy or dystonia.