"Cerebral" lactic acidosis: defects in pyruvate metabolism with profound brain damage and minimal systemic acidosis.

Abstract:

:Six patients are described with a combination of early onset of neurological symptoms, gross cerebral changes and elevated concentrations of pyruvate and lactate in cerebrospinal fluid. Although at least five of the six patients appear to have a generalised defect in pyruvate metabolism, reflected in deficient pyruvate dehydrogenase activity in cultured fibroblasts, systemic acidosis was not a problem clinically and blood pyruvate and lactate concentrations were only slightly raised. The localisation of significant clinical and biochemical problems to the central nervous system, coupled with the difficulties in making the diagnosis if analysis of cerebrospinal fluid (CSF) is not performed, lead us to term this condition "cerebral" lactic acidosis.

journal_name

Eur J Pediatr

authors

Brown GK,Haan EA,Kirby DM,Scholem RD,Wraith JE,Rogers JG,Danks DM

doi

10.1007/BF00442603

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

10-4

issue

1

eissn

0340-6199

issn

1432-1076

journal_volume

147

pub_type

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