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Inherited metabolic disorders and cerebral infarction.
[homocystinuria without methylmalonic aciduria]
The
association
of
genetic
factors
and
cerebral
infarction
(
CI
)
has
long
been
established
.
A
positive
family
history
alone
is
a
recognized
risk
factor
for
CI
and
vascular
events
in
general
.
However
,
there
are
certain
inherited
conditions
that
further
increase
the
risk
of
stroke
.
These
conditions
are
generally
metabolic
and
mitochondrial
genetic
defects
that
have
variable
modes
of
inheritance
.
This
article
reviews
major
inherited
metabolic
disorders
that
predispose
an
individual
to
CI
.
Ten
main
conditions
will
be
discussed
:
Fabry
's
disease
,
cerebrotendinous
xanthomatosis
,
tangier
disease
,
familial
hypercholesterolemia
,
homocystinuria
,
methylmalonic
acidemia
,
glutaric
aciduria
type
I
,
propionic
acidemia
,
ornithine
transcarbamylase
deficiency
and
mitochondrial
encephalopathy
,
lactic
acidosis
and
stroke
-like
phenomenon
.
Diseases
Validation
Diseases presenting
"acidemia"
symptom
congenital diaphragmatic hernia
homocystinuria without methylmalonic aciduria
phenylketonuria
primary hyperoxaluria type 1
This symptom has already been validated