Perinatal Pathology Casebook

José A. Gutierrez, Edward J Truemper, Edward M. Burton, María Gisela Mercado-Deane

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Citrullinemia, a rare inborn error of metabolism, is characterized by a deficiency of argininosuccinic acid synthetase that results in large increases in plasma ammonia, citrulline, and glutamine, with normal acid-base balance. The neurologic symptoms vary from poor feeding, vomiting, and irritability to hypotonia, apnea, and death. The most common pathologic findings at autopsy are cerebral edema and focal neuronal necrosis. We describe a case of fulminant citrullinemia in an infant in whom the major pathologic findings included diffuse cerebral edema and a lack of overt metabolic derangement characteristic of neonates with a urea cycle defect. Our case differs from the classic presentation of citrullinemia in that subarachnoid hemorrhage was identified early in the clinical course. We report the first observation of subarachnoid hemorrhage in an infant with a urea cycle defect.

Original languageEnglish (US)
Pages (from-to)77-79
Number of pages3
JournalJournal of Perinatology
Volume16
Issue number1
StatePublished - Jan 1 1996

Fingerprint

Citrullinemia
Pathology
Brain Edema
Subarachnoid Hemorrhage
Urea
Inborn Errors Metabolism
Citrulline
Muscle Hypotonia
Acid-Base Equilibrium
Apnea
Neurologic Manifestations
Glutamine
Ammonia
Vomiting
Autopsy
Necrosis
Observation
Newborn Infant

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Gutierrez, J. A., Truemper, E. J., Burton, E. M., & Mercado-Deane, M. G. (1996). Perinatal Pathology Casebook. Journal of Perinatology, 16(1), 77-79.

Perinatal Pathology Casebook. / Gutierrez, José A.; Truemper, Edward J; Burton, Edward M.; Mercado-Deane, María Gisela.

In: Journal of Perinatology, Vol. 16, No. 1, 01.01.1996, p. 77-79.

Research output: Contribution to journalArticle

Gutierrez, JA, Truemper, EJ, Burton, EM & Mercado-Deane, MG 1996, 'Perinatal Pathology Casebook', Journal of Perinatology, vol. 16, no. 1, pp. 77-79.
Gutierrez JA, Truemper EJ, Burton EM, Mercado-Deane MG. Perinatal Pathology Casebook. Journal of Perinatology. 1996 Jan 1;16(1):77-79.
Gutierrez, José A. ; Truemper, Edward J ; Burton, Edward M. ; Mercado-Deane, María Gisela. / Perinatal Pathology Casebook. In: Journal of Perinatology. 1996 ; Vol. 16, No. 1. pp. 77-79.
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