Brain creatine depletion: Guanidinoacetate methyltransferase deficiency (improving with creatine supplementation)

被引:75
作者
Leuzzi, V
Bianchi, MC
Tosetti, M
Carducci, C
Cerquiglini, A
Cioni, G
Antonozzi, I
机构
[1] Univ La Sapienza, Dipartimento Sci Neurol & Psichiat Eta Evolutiva, Rome, Italy
[2] Osped S Chiara, Dipartimento Neuroradiol, Pisa, Italy
[3] Ist Sci Stella Maris, Pisa, Italy
[4] Univ La Sapienza, Dipartimento Med Sperimentale, Rome, Italy
关键词
D O I
10.1212/WNL.55.9.1407
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe an Italian child with guanidinoacetate methyltransferase deficiency, neurologic regression, movement disorders, and epilepsy during the first year of life. Brain MRI showed pallidal and periaqueductal alterations. In vivo H-1-MRS showed brain creatine depletion. The assessment of guanidinoacetic acid concentration in biologic fluids confirmed the diagnosis. Clinical, biochemical, and neuroradiologic improvement followed creatine supplementation.
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页码:1407 / 1409
页数:3
相关论文
共 10 条
[1]  
Bianchi MC, 2000, ANN NEUROL, V47, P511
[2]  
CRUTHMILLER P, 1994, J BIOL CHEM, V269, P17556
[3]   GUANIDINO COMPOUNDS THAT ARE INCREASED IN CEREBROSPINAL-FLUID AND BRAIN OF UREMIC PATIENTS INHIBIT GABA AND GLYCINE RESPONSES ON MOUSE NEURONS IN CELL-CULTURE [J].
DEDEYN, PP ;
MACDONALD, RL .
ANNALS OF NEUROLOGY, 1990, 28 (05) :627-633
[4]   Guanidinoacetate methyltransferase deficiency: New clinical features [J].
Ganesan, V ;
Johnson, A ;
Connelly, A ;
Eckhardt, S ;
Surtees, RAH .
PEDIATRIC NEUROLOGY, 1997, 17 (02) :155-157
[5]   Proton magnetic resonance spectroscopy in an Italian family with spinocerebellar ataxia type 1 [J].
Mascalchi, M ;
Tosetti, M ;
Plasmati, R ;
Bianchi, MC ;
Tessa, C ;
Salvi, F ;
Frontali, M ;
Valzania, F ;
Bartolozzi, C ;
Tassinari, CA .
ANNALS OF NEUROLOGY, 1998, 43 (02) :244-252
[6]   Creatine deficiency syndrome caused by guanidinoacetate methyltransferase deficiency: Diagnostic tools for a new inborn error of metabolism [J].
Schulze, A ;
Hess, T ;
Wevers, R ;
Mayatepek, E ;
Bachert, P ;
Marescau, B ;
Knopp, MV ;
DeDeyn, PP ;
Bremer, HJ ;
Rating, D .
JOURNAL OF PEDIATRICS, 1997, 131 (04) :626-631
[7]  
STOKLER S, 1994, PEDIATR RES, V36, P409
[8]  
STOKLER S, 1997, METABOLISM, V46, P1189
[9]  
STOKLER S, 1996, LANCET, V348, P789
[10]  
STOKLER S, 1996, AM J HUM GENET, V58, P914