Article
Guanidinoacetate methyltransferase deficiency masquerading as a mitochondrial encephalopathy.
Journal of inherited metabolic disease - 1 Feb 2007
Morris A A M, Appleton R E, Power B, Isherwood D M, Abernethy L J, Taylor R W, Turnbull D M, Verhoeven N M, Salomons G S, Jakobs C
Abstract excerpt
Guanidinoacetate methyltransferase (GAMT) deficiency is a rare disorder of creatine synthesis. We report a patient who presented at 10 months of age with hypotonia and global developmental delay. Subsequently, she developed seizures and choreoathetosis. Magnetic resonance imaging showed high signal bilaterally in the globus pallidus on T2-weighted images. Mitochondrial respiratory chain studies revealed low...
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