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A novel association between cerebral sinovenous thrombosis and nonketotic hyperglycinemia in a neonate

  • Yurttutan, Sadik (Neonatal Intensive Care Unit, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Oncel, Mehmet Yekta (Neonatal Intensive Care Unit, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Yurttutan, Nursel (Elmadag State Hospital) ;
  • Degirmencioglu, Halil (Neonatal Intensive Care Unit, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Uras, Nurdan (Neonatal Intensive Care Unit, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Dilmen, Ugur (Department of Pediatrics, Yildirim Beyazit University Hospital)
  • 투고 : 2013.03.21
  • 심사 : 2013.08.21
  • 발행 : 2015.06.10

초록

Lethargy in newborns usually indicates central nervous system dysfunction, and many conditions such as cerebrovascular events, infections, and metabolic diseases should be considered in the differential diagnosis. Nonketotic hyperglycinemia is an autosomal recessive error of glycine metabolism, characterized by myoclonic jerks, hypotonia, hiccups, apnea, and progressive lethargy that may progress to encephalopathy or even death. Cerebral sinovenous thrombosis is a rare condition with various clinical presentations such as seizures, cerebral edema, lethargy, and encephalopathy. Here, we report the case of a newborn infant who presented with progressive lethargy. An initial diagnosis of cerebral venous sinus thrombosis was followed by confirmation of the presence of nonketotic hyperglycinemia.

키워드

참고문헌

  1. Hoover-Fong JE, Shah S, Van Hove JL, Applegarth D, Toone J, Hamosh A. Natural history of nonketotic hyperglycinemia in 65 patients. Neurology 2004;63:1847-53. https://doi.org/10.1212/01.WNL.0000144270.83080.29
  2. Berfelo FJ, Kersbergen KJ, van Ommen CH, Govaert P, van Straaten HL, Poll-The BT, et al. Neonatal cerebral sinovenous thrombosis from symptom to outcome. Stroke 2010;41:1382-8. https://doi.org/10.1161/STROKEAHA.110.583542
  3. Yang JY, Chan AK, Callen DJ, Paes BA. Neonatal cerebral sinovenous thrombosis: sifting the evidence for a diagnostic plan and treatment strategy. Pediatrics 2010;126:e693-700. https://doi.org/10.1542/peds.2010-1035
  4. deVeber G, Andrew M, Adams C, Bjornson B, Booth F, Buckley DJ, et al. Cerebral sinovenous thrombosis in children. N Engl J Med 2001;345:417-23. https://doi.org/10.1056/NEJM200108093450604
  5. Moharir MD, Shroff M, Stephens D, Pontigon AM, Chan A, MacGregor D, et al. Anticoagulants in pediatric cerebral sinovenous thrombosis: a safety and outcome study. Ann Neurol 2010; 67:590-9.
  6. Kersbergen KJ, Groenendaal F, Benders MJ, de Vries LS. Neonatal cerebral sinovenous thrombosis: neuroimaging and long-term follow-up. J Child Neurol 2011;26:1111-20. https://doi.org/10.1177/0883073811408090
  7. Fitzgerald KC, Williams LS, Garg BP, Carvalho KS, Golomb MR. Cerebral sinovenous thrombosis in the neonate. Arch Neurol 2006;63:405-9. https://doi.org/10.1001/archneur.63.3.405
  8. Nwosu ME, Williams LS, Edwards-Brown M, Eckert GJ, Golomb MR. Neonatal sinovenous thrombosis: presentation and association with imaging. Pediatr Neurol 2008;39:155-61. https://doi.org/10.1016/j.pediatrneurol.2008.06.001
  9. Alioglu B, Ozyurek E, Tarcan A, Atac FB, Gurakan B, Ozbek N. Heterozygous methylenetetrahydrofolate reductase 677C-T gene mutation with mild hyperhomocysteinemia associated with intrauterine iliofemoral artery thrombosis. Blood Coagul Fibrinolysis 2006;17:495-8. https://doi.org/10.1097/01.mbc.0000240925.03425.c0
  10. Baumeister FA, Auberger K, Schneider K. Thrombosis of the deep cerebral veins with excessive bilateral infarction in a premature infant with the thrombogenic 4G/4G genotype of the plasminogen activator inhibitor-1. Eur J Pediatr 2000;159:239-42. https://doi.org/10.1007/s004310050062
  11. Tada K. Nonketotic hyperglycinemia: clinical and metabolic aspects. Enzyme 1987;38:27-35. https://doi.org/10.1159/000469187
  12. Wei SH, Weng WC, Lee NC, Hwu WL, Lee WT. Unusual spinal cord lesions in late-onset non-ketotic hyperglycinemia. J Child Neurol 2011;26:900-3. https://doi.org/10.1177/0883073810393965
  13. Choi CG, Lee HK, Yoon JH. Localized proton MR spectroscopic detection of nonketotic hyperglycinemia in an infant. Korean J Radiol 2001;2:239-42. https://doi.org/10.3348/kjr.2001.2.4.239

피인용 문헌

  1. Mechanical thrombectomy with Solitaire AB stents for the treatment of intracranial venous sinus thrombosis vol.57, pp.12, 2015, https://doi.org/10.1177/0284185116633912