Clinical and MRI findings in a case of D-2-hydroxyglutaric aciduria.

Abstract:

:We report the 3rd case in the literature of a 3-year-old boy with D-2-hydroxyglutaric (D-2-HG) aciduria, who presented primarily generalized hypotonia and feeding difficulty during the neonatal period, with eventual development of generalized myoclonic seizures. Gas chromatographic analysis of urinary organic acids showed persistent excretion of D-2-HG. The clinical manifestations are quite similar to those of the 2nd reported case with D-2-HG aciduria. Serial MRI performed 1 year and 2 1/2 years after birth demonstrated bilateral symmetrical periventricular lesions in the parieto-occipital white matter, which might reflect the cortical blindness in our patient.

journal_name

Brain Dev

journal_title

Brain & development

authors

Sugita K,Kakinuma H,Okajima Y,Ogawa A,Watanabe H,Niimi H

doi

10.1016/0387-7604(94)00123-f

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

139-41; discussion 144-5

issue

2

eissn

0387-7604

issn

1872-7131

pii

038776049400123F

journal_volume

17

pub_type

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