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Journal of Child Neurology
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3-Methylglutaconic Aciduria Type 4 Manifesting as Leigh Syndrome in 2 Siblings

Nuria Muñoz Jareño, MD

Servicio de Neuropediatría, Hospital Clínico San Carlos, Madrid, Spain

Daniel Martín Fernández-Mayoralas, MD

Servicio de Neuropediatría, Hospital Clínico San Carlos, Madrid, Spain, dmfmayor{at}yahoo.es

Celia Pérez-Cerdá Silvestre, PhD

Begoña Merinero Cortés, PhD

Departamento de Biología Molecular, Centro de Biología Molecular Severo Ochoa CSIC-UAM, Universidad Autónoma de Madrid, Cantoblanco, Spain

Magdalena Ugarte Pérez, PhD

Departamento de Biología Molecular, Centro de Biología Molecular Severo Ochoa CSIC-UAM, Universidad Autónoma de Madrid, Cantoblanco, Spain

Jaime Campos-Castelló, MD

Servicio de Neuropediatría, Hospital Clínico San Carlos, Madrid, Spain

The authors report the case of a pair of siblings with 3-methylglutaconic aciduria type 4 manifesting as Leigh syndrome. Disease progression was monitored from birth until the present. Both patients fulfilled the diagnostic criteria for Leigh syndrome along with increased urinary excretion of 3-methylglutaconic acid and 3-methylglutaric acid (biochemical markers of methylglutaric acid) in several determinations. No mitochondrial respiratory chain defects in muscle biopsy were detected. Although mitochondrial abnormalities are the most common known cause of Leigh syndrome, there have been several reports of links with nonmitochondrial metabolic disorders. Descriptions of 3-methylglutaric acid type 4 associated with Leigh syndrome are rare.

Key Words: 3-methylglutaconic aciduria • Leigh syndrome • mitochondria • organic acid

Journal of Child Neurology, Vol. 22, No. 2, 218-221 (2007)
DOI: 10.1177/0883073807300300


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