Fatal ataxic encephalopathy and carnitine acetyltransferase deficiency: a functional defect of pyruvate oxidation?

Abstract:

:A 3-year 8-month-old girl died after 14 months of illness characterized by episodes of intermittent ataxia associated with oculomotor palsy, hypotonia, mental confusion, and disturbances of consciousness. In the last 4 months of life, there were signs of liver dysfunction. Pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase activities were normal in autopsy brain specimens and in cultured fibroblasts from the patient. Carnitine acetyltransferase was deficient in liver, brain, kidney, and cultured fibroblasts. Medium- and long-chain carnitine acyltransferase activities were normal. It is proposed that a functional defect of acetyl-coenzyme A (acetyl-CoA) utilization in brain mitochondria accompanies the carnitine acetyltransferase deficiency.

journal_name

Neurology

journal_title

Neurology

authors

DiDonato S,Rimoldi M,Moise A,Bertagnoglio B,Uziel G

doi

10.1212/wnl.29.12.1578

subject

Has Abstract

pub_date

1979-12-01 00:00:00

pages

1578-83

issue

12

eissn

0028-3878

issn

1526-632X

journal_volume

29

pub_type

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