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Glutaric Acidemia Type 1: A Case of Infantile Stroke.


ABSTRACT: BACKGROUND:Glutaric acidemia Type 1 (GA-1) is an autosomal recessively inherited metabolic disorder which is associated with GCDH gene mutations which alters the glutaryl-CoA dehydrogenase, an enzyme playing role in the catabolic pathways of the amino acids lysine, hydroxylysine, and tryptophan. Clinical findings are often encephalopathic crises, dystonia, and extrapyramidal symptoms. CASE REPORT:A 9-month-old male infant referred to our department with focal tonic-clonic seizures during rotavirus infection and acute infarcts in MRI. Clinical manifestation, MRI findings, and metabolic investigations directed thoughts towards GA-I. Molecular genetic testing revealed a homozygous c.572T>C (p.M191T) mutation in GCDH gene which confirmed the diagnosis. Application of protein restricted diet, carnitine and riboflavin supplementations prevented the progression of Magnetic Resonance Imaging (MRI) and clinical pathologic findings during the 1 year of follow-up period. CONCLUSION:This case is of great importance since it shows possibility of infantile stroke in GA-1, significance of early diagnosis and phenotypic variability of disease.

SUBMITTER: Kaya Ozcora GD 

PROVIDER: S-EPMC5874218 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Glutaric Acidemia Type 1: A Case of Infantile Stroke.

Kaya Ozcora Gül Demet GD   Gokay Songul S   Canpolat Mehmet M   Kardaş Fatih F   Kendirci Mustafa M   Kumandaş Sefer S  

JIMD reports 20170415


<h4>Background</h4>Glutaric acidemia Type 1 (GA-1) is an autosomal recessively inherited metabolic disorder which is associated with GCDH gene mutations which alters the glutaryl-CoA dehydrogenase, an enzyme playing role in the catabolic pathways of the amino acids lysine, hydroxylysine, and tryptophan. Clinical findings are often encephalopathic crises, dystonia, and extrapyramidal symptoms.<h4>Case report</h4>A 9-month-old male infant referred to our department with focal tonic-clonic seizures  ...[more]

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