Evidence map›Paper›PMID 32995020›Full record

ArticleAcute medicine & surgery

Late-onset ornithine transcarbamylase deficiency: a rare cause of recurrent abnormal behavior in adults.

Masaoki Hidaka, Eiji Higashi, Takeshi Uwatoko, Kiku Uwatoko, Mayumi Urashima, Hiroshi Takashima, Yoriko Watanabe, Takanari Kitazono, Hiroshi Sugimori

Open access · goldAbstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Masaoki HidakaDepartment of Cerebrovascular Medicine Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.ORCID https://orcid.org/0000-0001-5549-1343
Eiji HigashiDepartment of Cerebrovascular Medicine Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.
Takeshi UwatokoDepartment of Cerebrovascular Medicine Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.
Kiku UwatokoDepartment of Neurology Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.
Mayumi UrashimaDepartment of Pediatrics Saga Prefecture Medical Centre Koseikan Saga Japan.
Hiroshi TakashimaDepartment of Neurology Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.
Yoriko WatanabeResearch Institute of Medical Mass Spectrometry Kurume University School of Medicine Kurume Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Hiroshi SugimoriDepartment of Cerebrovascular Medicine Stroke Center Saga Prefecture Medical Centre Koseikan Saga Japan.
Saga-Ken Medical Centre Koseikan · JPKurume University · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrnithine transcarbamylase is an enzyme of the urea cycle, which produces urea from ammonia. Although ornithine transcarbamylase deficiency mainly occurs as a severe neonatal-onset disease, a late-onset form that could become symptomatic from infancy to adulthood is also known. CASE PRESENTATION: A 34-year-old man presented with sudden onset of abnormal behavior, lethargy, and hyperammonemia (108 µmol/L). He had recently increased daily protein intake, which suggested urea cycle disorder. After initiation of protein-restricted diet and treatment with arginine and sodium phenylbutyrate, his symptoms resolved, along with a decrease in the ammonia level. An R40H(c.119G > A) mutation in the

conclusionAwareness of adult onset ornithine transcarbamylase deficiency in a patient with acute psychiatric symptoms due to hyperammonemia is important.

Indexed as

Ornithine carbamoyltransferaseOTC deficiency

Identifiers

PMID32995020
PMCPMC7507316
OpenAlexW3087008245

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.