Primary defects of mitochondrial DNA leading to respiratory chain dysf
unction have been described in association with dystonia, chorea and p
arkinsonism. Myoclonus remains the commonest movement disorder associa
ted with such defects. The genetic basis of Leigh's syndrome, which is
frequently associated with movement disorders, may be mitochondrial o
r nuclear. Respiratory chain dysfunction has been identified in Huntin
gton's disease in addition to Parkinson's disease, but the cause and r
elationship of this dysfunction to the pathogenesis of these common di
sorders is not yet determined.