Glutaric acidemia type 1 is an inherited disorder in which the body is unable to completely break down the amino acids lysine, hydroxylysine and tryptophan. La aciduria glutárica tipo I es una enfermedad neurometabólica, de herencia autosómico recesiva (1 caso/ ), caracterizada por discinesia y distonía. Glutaric acidemia I is an autosomal recessive metabolic disorder characterized by gliosis and neuronal loss in the basal ganglia and a progressive movement.

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These intermediate breakdown products are particularly prone to affect the basal ganglia, causing many of the signs and symptoms of glutaric acidemia type 1. At age 63, he developed ataxia, progressive dementia, and glutagica problems. Archived from the original — Scholar search on November 5, Si continua navegando, consideramos que acepta su uso.

Plasma and urine acylcarnitine analysis can also be informative. Other search option s Alphabetical list. Mutations in the GCDH’ gene prevent production of the enzyme or result in the production of a defective enzyme with very low residual activity, or an enzyme with relatively high residual activity but still phenotypic consequences.

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Antenatal diagnosis of glutaric acidemia.


If not available, diagnosis should be suspected on the basis of clinical findings and can be supported by neuroradiological findings including widely open opercula and basal ganglia injury.


In this context, the radiologist needs to be familiar with the imaging findings of glutaric aciduria type I so that an erroneous diagnosis of non-accidental injury is not aciduia.

Gluyarica Epidemiology Worldwide prevalence is estimated at 1 inbirths. These patients showed developmental delay from birth and a progressive dystonic ‘cerebral palsy. The documents contained in this web site are presented for information purposes only. Clinical course, early diagnosis, and prevention of disease in glutaril-CoA dehydrogenase deficiency. Endogenous catabolism of proteins could be an important route for glutaric acid production.

Antenatal diagnosis Prenatal testing can be performed by genetic and GCDH enzyme analysis of chorionic villi sample or through measuring GA levels in amniotic fluid in at-risk families. After recovery from the acute episode, which was diagnosed as varicella encephalitis, he was left with a residual spastic diplegia, partial bulbar palsy, and choreoathetosis.

Prenatal testing can be performed by genetic and GCDH enzyme analysis of chorionic villi sample or through measuring GA levels in amniotic fluid in at-risk families.

Neuropediatrics, 27pp. Guideline for the diagnosis and management of glutaryl-CoA dehydrogenase deficiency glutaric aciduria type I. National Library of Medicine [8]. Treatment in the acute stage takes the form of prevention and correction of the catabolic state 1. Continuing navigation will be considered as acceptance of this use. Both patients had macrocephaly from birth and showed supratentorial leukoencephalopathy. GA1 worsens during stresses and catabolic episodes, such as fasts and infections.

Pathologic examination reveals striatal degeneration of the caudate and putamen nucleus and biochemical analysis shows glutaryl CoA dehydrogenase deficiency.


Recomendaciones del Grupo de Trabajo de Obesidad de la Thank you for updating your details. Hyperintensity of the tegmental tracts along the fourth ventricle floor has also been described.

Glutaric aciduria type 1

If untreated, death is usually in the first decade, in the setting of an acute exacerbation. Hospital General Universitario de Albacete. In 10 patients, the disorder was first manifest between 3 and 18 months during an acute infectious illness.

Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted. The consequence is acute tryptophan depletion ATD in the brain and a consecutive lowering of serotonin synthesis. Summary and related texts. Biochem Med, 12pp. However, this does not significantly change blood concentrations of gljtarica or esterified carnitine, [4] suggesting that oral supplementation is suboptimal in raising tissue levels of carnitine.

Ocular albinism 1 Oculocutaneous albinism Hermansky—Pudlak syndrome Waardenburg syndrome. A bonus to all MIMmatch users is the option to sign up for updates on new gene-phenotype relationships.

HIV encephalopathy- AIDS dementia complexpneumococcal meningitishypoadrenal crisis, methylmalonic acidemiapropionic acidemiamiddle cerebral artery occlusion, hypertensive vasculopathy, acute Mycoplasma pneumoniae infection, 3-nitropropionic acid intoxication, late onset familial dystoniacerebrovascular abrupt and severe neonatal asphyxia “selective neuronal necrosis”. GAMT deficiency Glycine encephalopathy. Whether these wide CSF spaces represent arachnoid cysts rather than atrophy and under-opercularisation of the Sylvian fissures, remains unresolved.