Journal of Pediatric Neurosciences
CASE REPORT
Year
: 2021  |  Volume : 16  |  Issue : 1  |  Page : 75--78

Siblings with glutaric aciduria type 1 with atypical phenotype with novel pathogenic variant in GCDH gene


Vykuntaraju Kammasandra Gowda1, Balamurugan Nagarajan1, Varunvenkat M Srinivasan1, Maya Bhat2 
1 Department of Pediatric Neurology, Indira Gandhi institute of Child Health, Bengaluru, Karnataka, India
2 Department of Neuroradiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India

Correspondence Address:
Dr. Vykuntaraju Kammasandra Gowda
Department of Pediatric Neurology, Indira Gandhi institute of Child Health, 1st Block, Siddapura, Jayanagar, Bengaluru 560029, Karnataka.
India

Glutaric aciduria type 1 (GA1) is caused by a deficiency of the enzyme glutaryl CoA dehydrogenase. It generally presents with developmental delay, dystonia, and large head. We are reporting siblings of GA1, presenting with an atypical phenotype with novel pathogenic variant. Thirteen-year-old boy presented with global developmental delay and stiffness of limbs. Examination revealed normocephaly and generalized dystonia. MRI T2WI was suggestive of symmetrical posterior putaminal atrophy. Tandem mass spectroscopy (TMS) and urinary gas chromatography-mass spectrometry (GCMS) were normal. Genetic analysis revealed a novel pathogenic homozygous missense variant in GCDH gene. An 8-year-old girl younger sibling of above child also had developmental delay and dystonia, posterior putamen atrophy in the MRI of brain, and same pathogenic variant in GCDH gene. Parents screening showed heterozygous status in both parents of same pathogenic variant. Any child who presents with global developmental delay with dystonia even with normocephaly, isolated symmetrical posterior putamen changes, with normal TMS and GCMS, a possibility of glutaric aciduria type 1 has to be considered.


How to cite this article:
Gowda VK, Nagarajan B, Srinivasan VM, Bhat M. Siblings with glutaric aciduria type 1 with atypical phenotype with novel pathogenic variant in GCDH gene.J Pediatr Neurosci 2021;16:75-78


How to cite this URL:
Gowda VK, Nagarajan B, Srinivasan VM, Bhat M. Siblings with glutaric aciduria type 1 with atypical phenotype with novel pathogenic variant in GCDH gene. J Pediatr Neurosci [serial online] 2021 [cited 2021 Sep 20 ];16:75-78
Available from: https://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2021;volume=16;issue=1;spage=75;epage=78;aulast=Gowda;type=0