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TYROSINE HYDROXYLASE DEFICIENCY

TYROSINE HYDROXYLASE DEFICIENCY
SEGAWA SYNDROME, AUTOSOMAL RECESSIVE; L-DOPA RESPONSIVE DYSTONIA
605407
OMIM = Online Mendelian Inheritance of Men
101150
tyrosine 3-monooxygenase
1.14.16.2
11p15.5
G24.1
rare
autosomal recessive
mutation in the tyrosine hydroxylase gene
Laboratory findings   Dopamine normal/dec (urine)
   Homovanillic acid/5-Hydroxyindoleacetic acid (HVA/5HIAA) decreased (cerebrospinal fluid)
    3-Methoxy-4-hydroxyphenylglycol (MHPG, MOPEG) dec (cerebrospinal fluid)
    5-Hydroxyindolacetic acid (5-HIAA) normal (cerebrospinal fluid)
    Homovanillic acid (HVA) dec (cerebrospinal fluid)
    Homovanillic acid (HVA) normal/dec (urine)
    Prolactin inc (serum)
    Vanillylmandelic acid (VMA) normal/dec (urine)
Symptoms   drooling
   dystonia
   feeding difficulties, poor feeding
   growth retardation, poor growth
   hypokinesia
   hypotonia
   intellectual disability/intellectual developmental disorder
   irritability
   lethargy, drowsiness, apathy
   oculogyric crisis
   ptosis (drooping eyelid)
   seizures
   sweating
   temperature instability
   tremor or twitching
    hypersalivation
    microcephaly (<2 SD for age)
    muscular rigidity
    myoclonus
    onset, childhood
    onset, infancy
    onset, neonatal
    Parkinsonism
    sleep disturbances
    speech development, delayed, abnormal