3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures

Serine deficiency disorders are a new group of neurometabolic diseases resulting from a deficiency in one of the three enzymes in the biosynthetic pathway of L-serine. Deficiency of the enzyme 3-phosphoglycerate dehydrogenase (3-PGDH), which catalyzes the first step in the biosynthetic pathwa...

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Main Authors: Turgay Coşkun, Halil Ibrahim Aydin, Mustafa Kiliç, Ali Dursun, Göknur Haliloğlu, Haluk Topaloğlu, Kader Karli-Oğuz, Tom J De Koning
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2009-12-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2362
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author Turgay Coşkun
Halil Ibrahim Aydin
Mustafa Kiliç
Ali Dursun
Göknur Haliloğlu
Haluk Topaloğlu
Kader Karli-Oğuz
Tom J De Koning
author_facet Turgay Coşkun
Halil Ibrahim Aydin
Mustafa Kiliç
Ali Dursun
Göknur Haliloğlu
Haluk Topaloğlu
Kader Karli-Oğuz
Tom J De Koning
author_sort Turgay Coşkun
collection DOAJ
description Serine deficiency disorders are a new group of neurometabolic diseases resulting from a deficiency in one of the three enzymes in the biosynthetic pathway of L-serine. Deficiency of the enzyme 3-phosphoglycerate dehydrogenase (3-PGDH), which catalyzes the first step in the biosynthetic pathway, leads to congenital microcephaly, severe psychomotor retardation, and intractable seizures. We report a 4 1/2-year-old boy who presented with congenital microcephaly, psychomotor retardation, hypertonia, strabismus, and drug-resistant seizures due to 3-PGDH deficiency. His seizures responded to L-serine and glycine supplementation only. This potentially treatable disease should be borne in mind in patients with congenital microcephaly, psychomotor retardation and seizures. A timely diagnosis based on the detection of low cerebrospinal fluid levels of L-serine and glycine is expected to further increase the success of L-serine and glycine supplementation in these patients.
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issn 0041-4301
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language English
publishDate 2009-12-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-3e73ba686ccc4429b1387f6fa4b8d4012025-08-20T03:01:12ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212009-12-015163-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizuresTurgay Coşkun0Halil Ibrahim AydinMustafa KiliçAli DursunGöknur HaliloğluHaluk TopaloğluKader Karli-OğuzTom J De KoningUnit of Metabolism and Nutrition, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. Serine deficiency disorders are a new group of neurometabolic diseases resulting from a deficiency in one of the three enzymes in the biosynthetic pathway of L-serine. Deficiency of the enzyme 3-phosphoglycerate dehydrogenase (3-PGDH), which catalyzes the first step in the biosynthetic pathway, leads to congenital microcephaly, severe psychomotor retardation, and intractable seizures. We report a 4 1/2-year-old boy who presented with congenital microcephaly, psychomotor retardation, hypertonia, strabismus, and drug-resistant seizures due to 3-PGDH deficiency. His seizures responded to L-serine and glycine supplementation only. This potentially treatable disease should be borne in mind in patients with congenital microcephaly, psychomotor retardation and seizures. A timely diagnosis based on the detection of low cerebrospinal fluid levels of L-serine and glycine is expected to further increase the success of L-serine and glycine supplementation in these patients. https://turkjpediatr.org/article/view/2362
spellingShingle Turgay Coşkun
Halil Ibrahim Aydin
Mustafa Kiliç
Ali Dursun
Göknur Haliloğlu
Haluk Topaloğlu
Kader Karli-Oğuz
Tom J De Koning
3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
The Turkish Journal of Pediatrics
title 3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
title_full 3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
title_fullStr 3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
title_full_unstemmed 3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
title_short 3-phosphoglycerate dehydrogenase deficiency: a case report of a treatable cause of seizures
title_sort 3 phosphoglycerate dehydrogenase deficiency a case report of a treatable cause of seizures
url https://turkjpediatr.org/article/view/2362
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