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Case Reports
. 1992 Jul;121(1):86-9.
doi: 10.1016/s0022-3476(05)82549-1.

Brain dysgenesis and congenital intracerebral calcification associated with 3-hydroxyisobutyric aciduria

Affiliations
Case Reports

Brain dysgenesis and congenital intracerebral calcification associated with 3-hydroxyisobutyric aciduria

D Chitayat et al. J Pediatr. 1992 Jul.

Abstract

Monozygotic male twins born to nonconsanguineous parents had dysmorphic facial features, microcephaly, migrational brain disorder, and congenital intracerebral calcification. They excreted excessive amounts of 3-hydroxyisobutyric acid, a metabolite of valine, and had evidence of impaired oxidative metabolism and metabolic acidosis. The level of 3-hydroxyisobutyrate in stored samples of midtrimester amniotic fluid was found to be high. The association of 3-hydroxyisobutyric aciduria with brain dysgenesis is a newly recognized mendelian disorder; its recurrence in a family at risk is potentially avoidable by prenatal diagnosis.

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