Phenotype #0000000558

Individual ID 00001126
Associated disease GA1
Inheritance Familial, autosomal recessive
Age/Onset -
Diagnosis/Initial -
Age/Examination -
Diagnosis/Definite -
Age/Diagnosis 00y01m
Phenotype/Onset Progressive macrocephaly (2.4cm above 97th percentile) (HP:0004481), frontal bossing (HP:0002007), intermittently occuring sun-setting eyes (HP:0012470)
Phenotype details Examination at onset: no signs of increased intrcranial pressure, generalized hypotonia (HP:0008935), exaggerated tendon stretch reflexes, ankle clonus (HP:0011448); Disease course: during following 04m subsiding of neurologic signs, good psychomotor development with slight retrun of head circumference toward 97th percentile; At age 03m: no progression of frontotemporal atrophy in cranial ultrasonography; At age 06m: hospitalization due to acute encephalopathic crisis (HP:0006846) after febrile respiratory tract infection with obstructive bronchitis, worsening of crisis despite of immediate emergency treatment with subsequent bilateral striatal destruction (as seen in MRI); Outcome thereafter: dystonic-dyskinetic movement disorder (HP:0001276, HP:0100660) with axial hypotonia (HP:0009062), loss of head control and other previously acquired motor skills; partial recovery during following months but persistence of severe motor handicap
Protein -
Biochem GA(urine):10,000-14,000 mmol/mol creatinine; 3-OH-GA(urine):2690 mmol/mol creatinine; GA(plasma):22.3 µmol/L; total L-carnitine(radioenzymatic assay):12.5 µmol/L; free carnitine:9.2 µmol/L
Enzyme/Activity GCDH activity: 1% of controls
Owner name Katrin Hinderhofer
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Julia Lopez
Date created 2013-04-17 17:21:21 +02:00 (CEST)
Date last edited 2019-03-19 09:55:25 +01:00 (CET)

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