Picker Jonathan D, Puga Ana C, Levy Harvey L, Marsden Deborah, Shih Vivian E, Degirolami Umberto, Ligon Keith L, Cederbaum Stephen D, Kern Rita M, Cox Gerald F
Divisions of Genetics and Neuropathology, Children's Hospital Boston, the Department of Neurology, Massachusetts General Hospital, Cambridge, Massachusetts 02115, USA.
J Pediatr. 2003 Mar;142(3):349-52. doi: 10.1067/mpd.2003.97.
We describe a rare and lethal case of arginase deficiency in a 2-day-old female infant with encephalopathy and cerebral edema. The levels of glutamine and arginine but not ammonia were markedly elevated, lending support to the "glutamine hypothesis" as the mechanism of cerebral edema in urea cycle defects.