Case Reports
doi: 10.1212/wnl.31.4.398.
Pyruvate dehydrogenase deficiency restricted to brain
- PMID: 6783978
- DOI: 10.1212/wnl.31.4.398
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Case Reports
Pyruvate dehydrogenase deficiency restricted to brain
Neurology.
1981 Apr.
Abstract
We studied a child with a rapidly progressive neurologic disorder, with psychomotor retardation, hypotonia, seizures, and respiratory disturbances. Laboratory studied showed elevated levels of lactate and pyruvate in cerebrospinal fluid (CSF), without notable elevated levels in serum. In liver, muscle, leukocytes, and cultured fibroblasts we found no abnormality in pyruvate oxidation; biochemical studies of a brain biopsy showed an isolated deficiency of pyruvate dehydrogenase complex in brain tissue with the morphologic picture of progressive poliodystrophy with hypomyelination.
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