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GLUT-1 DEFICIENCY SYNDROME (GLUT1DS1)

GLUT-1 DEFICIENCY SYNDROME (GLUT1DS1)
DEVIVO SYNDROME; GLUCOSE TRANSPORT DEFECT, BLOOD-BRAIN BARRIER
606777
OMIM = Online Mendelian Inheritance of Men
71277
Solute carrier family 2, facilitated glucose transporter member 1
1p34.2
G93.4
rare
autosomal dominant
autosomal recessive (rare)
mutation in the SLC2A1 gene
- classic Glut1 DS (~90%)
- non-epileptic Glut1 DS (~10%)
Laboratory findingsD-Glucose dec (cerebrospinal fluid)
    D-Glucose inc (urine)
    Glucose ratio (CSF/P) dec (urine)
    L-Lactic acid normal/dec (cerebrospinal fluid)
Symptoms   abnormal movement
   anemia
   ataxia
   chorea or athetosis
   developmental delay
   dystonia
   hypertonia, spasticity
   hypotonia
   intellectual disability/intellectual developmental disorder
   myoclonus
   Parkinsonism
   seizures
   tremor or twitching
    cognitive impairment
    dysarthria
    EEG abnormalities [-]
    encephalopathy
    epilepsy
    eye movements, abnormal
    hyperreflexia
    hypoglycorrachia
    learning disability
    lethargy, drowsiness, apathy
    leukoencephalopathy
    mental retardation
    microcephaly (<2 SD for age)
    onset, infancy
    onset, neonatal
    paraparesis/paraplegia
    paresis
    skeletal changes, skeletal abnormalities
    speech development, delayed, abnormal