Evidence map›Paper›PMID 32306145›Full record

ArticleNeurogenetics2020

Adult-onset glutaric aciduria type I: rare presentation of a treatable disorder.

Pınar Gelener, Mariasavina Severino, Sevda Diker, Kerem Teralı, Gulten Tuncel, Hatice Tuzlalı, Elena Manara, Stefano Paolacci, Matteo Bertelli, Mahmut Cerkez Ergoren

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In one paragraph

Article in Neurogenetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Brain morphometry and cognition in late-onset glutaric aciduria type 1: scoping review and novel insights from a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Pınar GelenerDepartment of Neurology, University of Kyrenia Faculty of Medicine, Kyrenia, Cyprus. drpinargelener@gmail.com.ORCID 0000-0002-8681-9847
Mariasavina SeverinoDepartment of Neuroradiology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Sevda DikerDepartment of Neurology, Near East University Faculty of Medicine, Nicosia, Cyprus.
Kerem TeralıDepartment of Medical Biochemistry, Faculty of Medicine, Near East University, Nicosia, Cyprus.
Gulten TuncelDepartment of Medical Biology, Faculty of Medicine, Near East University, Nicosia, Cyprus.
Hatice TuzlalıDepartment of Neuroradiology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Elena ManaraMAGI Euregio, Bolzano, Italy.
Stefano PaolacciMAGI Euregio, Bolzano, Italy.
Matteo BertelliMAGI's LAB S.r.l., Rovereto, Italy.
Mahmut Cerkez ErgorenDepartment of Medical Biology, Faculty of Medicine, Near East University, Nicosia, Cyprus.
Near East University · CYIstituto Giannina Gaslini · ITCenter for Neuroscience and Cognitive Systems · ITUniversity of Kyrenia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutaric aciduria type I (GA1; OMIM #231670) is an autosomal recessively inherited and treatable disorder characterized by the accumulation and irregular excretion of glutaric acid due to a defect in the glutaryl-CoA dehydrogenase enzyme involved in the catabolic pathways of L-lysine, L-hydroxylysine, and L-tryptophan. Glutaryl-CoA dehydrogenase is encoded by the GCDH gene (OMIM #608801), and several mutations in this gene are known to result in GA1. GA1 usually presents in the first 18-36 months of life with mild or severe acute encephalopathy, movement disorders, and striatal degeneration. Few cases of adult-onset GA1 have been described so far in the literature, often with non-specific and sometimes longstanding neurological symptoms. Since a preventive metabolic treatment is available, neurologists must be aware of this rare but likely underdiagnosed presentation, especially when typical neuroimaging features are identified. Here, we describe 35-year-old presenting with headache and subjective memory problems. There was no history of dystonic movement disorders. Neurological examination and neurocognitive tests were normal. Brain MRI scan revealed white matter abnormalities associated with subependymal nodules and mild frontotemporal hypoplasia suggestive of glutaric aciduria type 1 (GA1). Genetic testing confirmed the presence of homozygous c.1204C > T (p.R402W) variant in the GCDH gene, inherited from heterozygous parents.

Indexed as

Age of OnsetAdultAmino Acid Metabolism, Inborn ErrorsBrainBrain Diseases, MetabolicFemaleGenetic Association StudiesGlutaratesGlutaryl-CoA DehydrogenaseHeterozygoteHigh-Throughput Nucleotide SequencingHomozygoteHumansLife StyleMagnetic Resonance ImagingMutagenesisGlutaratesglutaric acidGlutaryl-CoA DehydrogenaseAdult onset aciduriaAsymptomatic aciduriaGlutaric aciduria type 1

Identifiers

PMID32306145
OpenAlexW3016645838

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.