Transient Non-Ketotic Hyperglycinemia in a Newborn

Tarak Choudhury, Soumi Kundu, G.C. Das, Malay Kumar Dasgupta
2017 Journal of Nepal Paediatric Society  
<p>In encephalopathic infants, cerebrospinal fluid hyperglycinemia and elevated cerebrospinal fluid to plasma glycine ratio are considered pathognomonic of Non-ketotic hyperglycinemia (NKH). It is due to a defect of the glycine cleavage system and has poor prognosis. We present a case of transient NKH presented to us with hypotonia, recurrent apnea and seizure. Increased ratio of cerebrospinal fluid to plasma glycine concentrations of 0.16 was seen as a strong diagnostic indicator of
more » ... hyperglycinemia.</p><p>J Nepal Paediatr Soc 2016;36(3):303-306</p>
doi:10.3126/jnps.v36i3.16047 fatcat:s6g7kaohbjdmvaa75cvkdiamly