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Case Reports
. 1992 Mar;55(3):209-11.
doi: 10.1136/jnnp.55.3.209.

Neuropsychiatric manifestations of defect in mitochondrial beta oxidation response to riboflavin

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Case Reports

Neuropsychiatric manifestations of defect in mitochondrial beta oxidation response to riboflavin

W J Triggs et al. J Neurol Neurosurg Psychiatry. 1992 Mar.

Abstract

A 29 year old woman is described with severe hyperemesis gravidarum, atypical migraine, numerous admissions to hospital for psychiatric illness, non-epileptic seizures, and valproate-induced coma. Metabolic studies and measurement of [9,10(n)-3H]palmitate oxidation by cultured fibroblasts suggested a multiple acyl-CoA dehydrogenation disorder. Treatment with riboflavin abolished headaches and abnormal behaviour and normalised the plasma free carnitine level. Subtle defects in mitochondrial beta oxidation may be a treatable cause of disordered behaviour in adults.

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