| Literature DB >> 26316201 |
T M Pierson1,2,3, Mani Nezhad4, Matthew A Tremblay5, Richard Lewis4, Derek Wong6, Noriko Salamon7, Nancy Sicotte4.
Abstract
A 55-year-old female presented with a 6-year history of paresthesias, incontinence, spasticity, and gait abnormalities. Neuroimaging revealed white matter abnormalities associated with subependymal nodules. Biochemical evaluation noted increased serum C5-DC glutarylcarnitines and urine glutaric and 3-hydroxyglutaric acids. Evaluation of the glutaryl-CoA dehydrogenase (GCDH) gene revealed compound heterozygosity consisting of a novel variant (c.1219C>G; p.Leu407Val) and pathogenic mutation (c.848delT; p.L283fs). Together, these results were consistent with a diagnosis of adult-onset type I glutaric aciduria.Entities:
Keywords: Glutaric aciduria type 1; Neurodegeneration; Subependymal nodules; White matter disease
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Year: 2015 PMID: 26316201 DOI: 10.1007/s10048-015-0456-y
Source DB: PubMed Journal: Neurogenetics ISSN: 1364-6745 Impact factor: 2.660