Document Detail


A case of 3-methylglutaconic aciduria misdiagnosed as cerebral palsy.
MedLine Citation:
PMID:  11118804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
3-Methylglutaconic aciduria is a rare hereditary metabolic disorder characterized by increased urinary excretion of 3-methylglutaconic and 3-methylglutaric acids. Four clinical forms are recognized. This study presents the case of a 5-year-old male with type IV 3-methylglutaconic aciduria, initially diagnosed as "static encephalopathy." The slow evolution and other clinical characteristics, together with cerebral magnetic resonance imaging (MRI) findings, eventually directed the diagnosis to organic aciduria that was confirmed by urine test. This study proposes that the clinical criteria for childhood cerebral palsy should be rigorously respected; neuroimaging studies, particularly MRI, should be conducted to confirm the diagnosis, especially in atypical cases.
Authors:
C Pantaleoni; S D'Arrigo; L D'Incerti; M Rimoldi; D Riva
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric neurology     Volume:  23     ISSN:  0887-8994     ISO Abbreviation:  Pediatr. Neurol.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-02-08     Completed Date:  2001-02-08     Revised Date:  2006-05-23    
Medline Journal Info:
Nlm Unique ID:  8508183     Medline TA:  Pediatr Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  442-4     Citation Subset:  IM    
Affiliation:
Department of Pediatric Neurology; Besta Institute, Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Cerebral Palsy / diagnosis*
Child, Preschool
Diagnosis, Differential
Glutarates / urine*
Humans
Magnetic Resonance Imaging
Male
Metabolism, Inborn Errors / diagnosis*,  urine
Chemical
Reg. No./Substance:
0/Glutarates; 5746-90-7/3-methylglutaconic acid

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


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