Document Detail


L-2-hydroxyglutaric aciduria: report of four Turkish adult patients.
MedLine Citation:
PMID:  20065797     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: l-2-Hydroxyglutaric aciduria is a rare progressive neurometabolic disorder of childhood inherited as an autosomal recessive trait. Urine organic-acid screening is necessary for its diagnosis. Although it is a disorder of childhood, recently adult cases have been reported.
CASES: Here we report 4 adult patients in whom diagnoses were established in adulthood. These patients had some interesting features. First, their diagnoses were delayed until adulthood because of mild clinical symptoms. In such cases, the typical MRI findings are the best diagnostic clue for l-2-Hydroxyglutaric aciduria. Second, there was a correlation between the severity of the clinical course and the extent of MRI findings. The cerebral white-matter lesions were diffuse and confluent on the MRI of 3 of the 4 patients, who also experienced a rapidly progressive clinical decline. Third, there were different clinical presentations even within the same family.
CONCLUSIONS: For the evaluation of patients with symptoms referable to cerebellar, pyramidal, extrapyramidal, or cognitive impairment as well as seizures associated with subcortical white-matter and symmetrical dentate nuclei and basal ganglia involvement on MRI, urine organic acid analysis should be included in the evaluation, regardless of patient's age.
Authors:
Hulya Karatas; Serap Saygi; Birgul Bastan; Amber Eker; Oguzhan Kursun; Yavuz Ayhan; Abdurrahman Ciger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The neurologist     Volume:  16     ISSN:  2331-2637     ISO Abbreviation:  Neurologist     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-12     Completed Date:  2010-03-15     Revised Date:  2014-11-05    
Medline Journal Info:
Nlm Unique ID:  9503763     Medline TA:  Neurologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  44-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology*
Diagnosis, Differential
Disease Progression
Female
Glutamates / urine*
Humans
Magnetic Resonance Imaging
Male
Metabolism, Inborn Errors / diagnosis*,  pathology*,  urine
Nerve Fibers, Myelinated / pathology
Siblings
Turkey
Young Adult
Chemical
Reg. No./Substance:
0/Glutamates; 533-62-0/hydroxyglutamic acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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