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Glucose transporter 1 deficiency syndrome and other glycolytic defects.
[pyruvate dehydrogenase deficiency]
Glucose
transporter
1
deficiency
syndrome
is
emblematic
of
a
brain
energy
failure
syndrome
.
Energy
failure
also
results
from
other
genetically
determined
metabolic
disorders
,
such
as
hypoglycemic
syndromes
,
hypoketonemic
syndromes
associated
with
fatty
acid
oxidation
defects
,
glycolytic
enzymopathies
,
and
mitochondrial
defects
.
Glucose
transporter
1
deficiency
syndrome
is
particularly
illustrative
of
this
group
of
disorders
and
produces
an
infantile
-onset
epileptic
encephalopathy
that
responds
to
a
ketogenic
diet
.
The
electroencephalographic
correlate
is
distinctive
and
emerges
as
a
2
.
5
-
to
4
-
Hz
spike-wave
discharge
in
late
infancy
to
early
childhood
.
Infantile
apnea
and
oscillatory
eye
movements
reminiscent
of
opsoclonus
may
be
the
earliest
signs
of
this
condition
.
Mutations
of
the
GLUT
1
gene
are
causative
and
transmitted
as
an
autosomal
dominant
trait
.
Thioctic
acid
is
a
glucose
transporter
1
activator
,
whereas
barbiturates
and
methylxanthines
are
glucose
transporter
1
inhibitors
.
The
ketogenic
diet
is
effective
treatment
for
glucose
transporter
1
deficiency
syndrome
and
pyruvate
dehydrogenase
deficiency
.
It
also
should
benefit
patients
with
neurologic
symptoms
resulting
from
a
glycolytic
enzymopathy
.
Diseases
Validation
Diseases presenting
"genetically determined metabolic disorders"
symptom
pyruvate dehydrogenase deficiency
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