Skip to main content
Log in

4-Hydroxybutyric aciduria in a patient without ataxia or convulsions

  • Case Reports
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A child presenting with mild psychomotor retardation, hypotonia, microcephaly and hyperkinesis is described. Urinary organic acid analysis by combined gas chromatography-mass spectrometry revealed 4-hydroxybutyric aciduria. Succinic semialdehyde dehydrogenase activity in extracts of white cells derived from the patient was less than 10% of control values.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

GABA:

gamma aminobutyric acid

References

  1. Fell V, Lee CR, Pollitt RJ (1975) The occurrence of (S)-3,4-Dihydroxy-butyrate in human blood and urine. Biochem Med 13:40–45

    Google Scholar 

  2. Gibson KM, Jansen I, Sweetman L, Nyhan WL, Rating D, Jakobs C, Divry P (1984) 4-Hydroxybutyric aciduria: a new inborn error of metabolism. III. Enzymology and inheritance. J Inherited Metab Dis [Suppl 1] 7:95–96

    Google Scholar 

  3. Haan EA, Brown GK, Mitchell D, Danks DM (1985) Succinic semialdehyde dehydrogenase deficiency — a further case. J Inherited Metab Dis 8:99

    Google Scholar 

  4. Hoffmann G, Sweetman L (1987) 0-(2,3,4,5,6-Pentafluorobenzyl) Oxime-trimethylsilyl ester derivatives for quantitative gas chromatographic and gas chromatographic-mass spectrometric studies of aldehydes, ketones, and oxoacids. J Chromatogr 421:336–343

    Google Scholar 

  5. Jakobs C, Kneer J, Rating D, Hanefeld F, Divry P, Hermier M (1984) 4-Hydroxybutyric aciduria: a new inborn error of metabolism. II. Biochemical Findings. J Inherited Metab Dis [Suppl 1] 7: 92–94

    Google Scholar 

  6. Lee CR (1977) Evidence for the β-oxidation of orally administered 4-hydroxybutyrate in humans. Biochem Med 17:284–291

    Google Scholar 

  7. Rating D, Hanefeld F, Siemes H, Kneer J, Jakobs C, Hermier M, Divry P (1984) 4-Hydroxybutyric aciduria: A new inborn error of metabolism. I. Clinical Review. J Inherited Metab Dis [Suppl 1] 7: 90–92

    Google Scholar 

  8. Snead OC (1977) Gamma hydroxybutyrate. Life Sci 20:1935–1944

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gibson, K.M., Hoffmann, G., Nyhan, W.L. et al. 4-Hydroxybutyric aciduria in a patient without ataxia or convulsions. Eur J Pediatr 147, 529–531 (1988). https://doi.org/10.1007/BF00441983

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00441983

Key words

Navigation