Article
Hyperargininemic Encephalopathy with Unique Clinical Presentation and Novel Genetic Mutations.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP - 1 May 2020
Nagarjunakonda Sundarachary, Daggumati Rajeswari, Amalakanti Sridhar
Abstract excerpt
Hyperargininemia is a urea cycle disorder that has rarely been reported in adults. We present a case of arginase deficiency disorder in a 32-year man with metabolic encephalopathy. He presented with progressive limb spasticity, changes in personality, cognitive decline (impaired judgement, executive and language dysfunction) and pseudo-bulbar affect. He deteriorated to an akinetic mute and rigid state. MRI brain...
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