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[非酮症高甘氨酸血症。1例病例研究]

[Non-ketotic hyperglycinemia. Study of a case].

作者信息

Moura-Ribeiro M V, Ferlin M L, Gallina R A, Funayama C A, Fernandes R M

出版信息

Arq Neuropsiquiatr. 1987 Mar;45(1):67-71. doi: 10.1590/s0004-282x1987000100009.

Abstract

Non-ketotic hyperglycinemia is one of inborn metabolic errors that manifest by epileptic seizures of difficult control from the first days of life in hypotonic newborn children. The lack of enzyme that catalyzes the conversion of glycine to hydroxymethyltetrahydrofolic acid, carbon dioxide and ammonia, in liver and brain, results in increased concentration of glycine in blood. It is reported in this study a case of non-ketotic hyperglycinemia diagnosed in neonatal period and characterized by hypotonia and non-controlled multiple seizures. The clinical and electroencephalographic findings, treatment as well as anatomopathologic study are discussed.

摘要

非酮症高甘氨酸血症是一种先天性代谢紊乱疾病,表现为出生后数天内低渗新生儿难以控制的癫痫发作。肝脏和大脑中缺乏催化甘氨酸转化为羟甲基四氢叶酸、二氧化碳和氨的酶,导致血液中甘氨酸浓度升高。本研究报告了1例新生儿期诊断的非酮症高甘氨酸血症病例,其特征为肌张力减退和多次癫痫发作难以控制。文中讨论了临床和脑电图检查结果、治疗方法以及解剖病理学研究。

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