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 |