Evidence map›Paper›PMID 42742749›Full record

ArticleNeurogenetics2026

Glutaric aciduria type 1 presenting with Parkinsonism with presynaptic dopaminergic dysfunction in an adult female: a case report.

Matej Lokar, Katja Jarc Georgiev, Tomaž Rus, Nadan Gregorič, Borut Peterlin, Maruša Škrjanec Pušenjak, Dejan Georgiev

Abstract readCase Reports
In one paragraph

Article in Neurogenetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Matej LokarDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Katja Jarc GeorgievClinical Institute for Genomic Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Tomaž RusDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Nadan GregoričFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Borut PeterlinFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Maruša Škrjanec PušenjakClinical Institute for Genomic Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Dejan GeorgievDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia. dejan.georgiev@kclj.si.ORCID http://orcid.org/0000-0003-1832-3441

Funding

The Slovenian Research and Innovation Agency P2-0209
6 · The paper itself

Abstract

Glutaric aciduria type 1 (GA1) is an autosomal recessive neurometabolic disorder caused by pathogenic variants in the GCDH gene, typically presenting in infancy with dystonia following encephalopathic crisis. Late- and adult-onset forms are rare and may manifest with nonspecific neurological features. We describe a 43-year-old woman with levodopa-responsive parkinsonism and presynaptic dopaminergic dysfunction. Genetic analysis revealed compound heterozygous GCDH variants, consistent with GA1. One of the reported variants (c.1178G > A, p. Gly393Glu) is extremely rare and has never been associated with adult-diagnosed GA1 with atypical features. Furthermore, this is the first report of GA1 patient presenting with parkinsonism in whom we demonstrated presynaptic dopaminergic dysfunction, along with a favorable response to levodopa.

Indexed as

Amino Acid Metabolism, Inborn ErrorsBrain Diseases, MetabolicDopamineGlutaryl-CoA DehydrogenaseParkinsonian DisordersAdultFemaleHumansLevodopaDopamineGlutaryl-CoA DehydrogenaseLevodopaDopamine Transporter ImagingGCDH ProteinGlutaric Aciduria Type IInborn Errors of MetabolismLevodopaParkinsonian Disorders

Identifiers

PMID42742749
PMCPMC13578042

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.