1967
DOI: 10.1111/j.1469-8749.1967.tb02236.x
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Maple Syrup Urine Disease in an Infant with Microgyria

Abstract: SUMMARY A female child aged 10 months at death had shown malformations and neurological abnormality from birth. She later became severely epileptic and developed opisthotonos. While in hospital the odour of maple syrup was detected in the urine and the presence of valine, leucine and isoleucine was demonstrated by chromatography. Neuropathological examination showed widespread micropolygyria of the cerebral cortex and an abnormal formation of myelinated fibres in the thalami. The fibres were regarded as a mald… Show more

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Cited by 17 publications
(6 citation statements)
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“…Pathological changes have not been defined for most of these disorders, and whether these syndromes are true polymicrogyria or polymicrogyria-like cortical malformations is usually not clear. Polymicrogyria-like cortical malformations have been reported with several metabolic diseases with severe phenotypes, including Zellweger syndrome, 130,131 neonatal adreno leukodystrophy, 113 fumaric aciduria, 75 mitochondrial diseases, 132 glutaric aciduria type 2, 133 maple-syrup-urine disease, 134 and histidinaemia. 135 However, the histopathology differs from classic polymicrogyria for several of these disorders, especially the peroxisomal disorders and glutaric aciduria type 2.…”
Section: Polymicrogyria With or Without Schizencephalymentioning
confidence: 99%
“…Pathological changes have not been defined for most of these disorders, and whether these syndromes are true polymicrogyria or polymicrogyria-like cortical malformations is usually not clear. Polymicrogyria-like cortical malformations have been reported with several metabolic diseases with severe phenotypes, including Zellweger syndrome, 130,131 neonatal adreno leukodystrophy, 113 fumaric aciduria, 75 mitochondrial diseases, 132 glutaric aciduria type 2, 133 maple-syrup-urine disease, 134 and histidinaemia. 135 However, the histopathology differs from classic polymicrogyria for several of these disorders, especially the peroxisomal disorders and glutaric aciduria type 2.…”
Section: Polymicrogyria With or Without Schizencephalymentioning
confidence: 99%
“…Isolated cases have been reported with s u d a n o p h i l i c leucodystrophy , Erdohazi et al 1976, Pelizaeus Merzbacher's leucodystrophy (Seitelberger 1954), maple syrup urine disease (Martin andNorman 1967), homocystinuria (Chou andWaisman 1965), histidinaemia (Corner et al 1968) and Menkes' disease (Erdohazi et a/. Isolated cases have been reported with s u d a n o p h i l i c leucodystrophy , Erdohazi et al 1976, Pelizaeus Merzbacher's leucodystrophy (Seitelberger 1954), maple syrup urine disease (Martin andNorman 1967), homocystinuria (Chou andWaisman 1965), histidinaemia (Corner et al 1968) and Menkes' disease (Erdohazi et a/.…”
Section: Discussionmentioning
confidence: 99%
“…The association between white-matter disease and a developmental defect is 39 extremely rare. Isolated cases have been reported with s u d a n o p h i l i c leucodystrophy , Erdohazi et al 1976, Pelizaeus Merzbacher's leucodystrophy (Seitelberger 1954), maple syrup urine disease (Martin andNorman 1967), homocystinuria (Chou andWaisman 1965), histidinaemia (Corner et al 1968) and Menkes' disease (Erdohazi et a/. 1976).…”
Section: Discussionmentioning
confidence: 99%
“…The micropolygyria in this case of an 11-year-old boy is considered a developmental anomaly due to a disturbance in the normal course of cellular proliferation and migration across the cerebral wall, and an interference with the arrangement of neurones in the characteristic laminar pattern. The 4th and 5th foetal months are thought to be the critical period for the formation of micropolygyria; it has been attributed to intrauterine cerebral anoxia and vascular anomalies, and reported with cytomegalic inclusion disease and in association with neurometabolic diseases and neuroectodermal dysplasias (Hallervorden, 1949;Morsier, 1952;Diezel, 1954;Bertrand and Gruner, 1955;Ostertag, 1925;Seitelberger, 1954;Martin and Norman, 1967;Nellhaus, Haberland et al 1967). In the present case neither the history nor the pathological examination revealed changes suggestive of a specific aetiology.…”
Section: Discussionmentioning
confidence: 99%