Research Article
Open Access Peer-reviewed

Case Report: L-2-Hydroxyglutaric Aciduria in Sibling Sisters

Rasim Bakhtiyar Bayramov1, Mehriban Musa Sariyeva2,, Narmin Eldar Maharramli2

1Chief of Diagnostic Radiology Department, Educational – Surgical Clinic of Azerbaijan Medical University

2Diagnostic Radiology Department, Educational – Surgical Clinic of Azerbaijan Medical University

American Journal of Medical Case Reports. 2022, 10(4), 93-97. DOI: 10.12691/ajmcr-10-4-3
Received March 04, 2022; Revised April 06, 2022; Accepted April 12, 2022

Abstract

Our case report presents one of the rarely seen disorders L-2-hydroxyglutaric aciduria. Very little information is given in the literature and it remained undiagnosed until the 1980s. According to our information, only 295 events have been described in the literature till date. Our case report describes the disease manifestations, clinical pictures, and a review of the relevant literature on L-2-hydroxyglutaric aciduria. Our patients were females aged 12 and 13 years, respectively, which were born in consanguineous and Caucasian descent family.

Keywords:

L-2-hydroxyglutaric aciduria, mental retardation, speech difficulties, generalized seizure, febrile seizures, diffuse subcortical white matter lesions
[1]  Barth P.G., Hoffmann G.F., Jaeken J., et al. L-2-hydroxyglutaric acidemia: a novel inherited neurometabolic disease. Ann Neurol 1992; 32: 66-71.View Article  PubMed
 
[2]  Duran M., Kamerling J.P, Bakker H.D, van Gennip A.H, Wadman S.K. L-2-hydroxyglutaric aciduria: an inborn error of metabolism? J Inherit Metab. Dis. 1980; 3: 109-112.View Article  PubMed
 
[3]  George J., Sandhya P., Sajitha K.V, et al. Attention deficit hyperactivity disorder: a rare clinical presentation of L-2-hydroxyglutaric aciduria. BMJ Case Reports CP 2021; 14: e244038.View Article  PubMed
 
[4]  Chaudhari D.M, Renjen P.N, Goyal N., et al. Central variant reversible encephalopathy syndrome BMJ Case Reports C.P 2022; 15: e245636.View Article  PubMed
 
[5]  Topçu M, Aydin O.F, Yalçinkaya C., et al. L-2-hydroxyglutaric aciduria: a report of 29 patients. Turk J. Pediatr 2005; 47: 1-7.
 
[6]  Moroni I., D’Incerti L., Farina L., et al. Clinical, biochemical and neuroradiological findings in L-2-hydroxyglutaric aciduria. Neurol Sci 2000; 21: 103-8.View Article  PubMed
 
[7]  Haliloglu G., Jobard F., Oguz K.K, et al. L-2-hydroxyglutaric aciduria and brain tumors in children with mutations in the L2HGDH gene: neuroimaging findings. Neuropediatrics 2008; 39: 119-22.View Article  PubMed
 
[8]  Latini A., Scussiato K., Borba Rosa R., et al. Induction of oxidative stress by L-2-hydroxyglutaric acid in rat brain. J. Neurosci Res. 2003; 74: 103-110.View Article  PubMed
 
[9]  Ullah M.I., Nasir A., Ahmad A., et al. Identification of novel L2HGDH mutation in a large consanguineous Pakistani family—a case report. BMC Med. Genet. 2018; 19: 25.View Article  PubMed
 
[10]  Hanefeld F., Kruse B., Bruhn H. and Frahm J. (1994). In vivo proton magnetic resonance spectroscopy of the brain in a patient with L-2-hydroxyglutaric acidemia. Pediatr. Res., 35, 614-616.View Article
 
[11]  Mete A., Isikay S., Sirikci A., et al. Eyelid myoclonia with absence seizures in a child with l-2 hydroxyglutaric aciduria: findings of magnetic resonance imaging. Pediatr Neurol 2012; 46: 195-7.View Article  PubMed
 
[12]  Topçu M., Erdem G., Saatçi I., et al. Clinical and magnetic resonance imaging features of L-2-hydroxyglutaric acidemia: report of three cases in comparison with Canavan disease. J.Child Neurol 1996; 11: 373-7.View Article  PubMed
 
[13]  Zafeiriou D.I, Sewellb A., Savvopoulou-Augoustidoua P., Gombakisa N., Katzoset G. L-2-Hydroxyglutaric aciduria presenting as status epilepticus. Brain Dev. 2001; 23(4):255-7.View Article
 
[14]  Moroni I., D’Incerti L., Farina L., et al. Clinical, biochemical and neuroradiological findings in L-2-hydroxyglutaric aciduria. Neurol Sci 2000; 21: 103-8.View Article  PubMed
 
[15]  Karatas H., Saygi S., Bastan B. L-2-hydroxyglutaric aciduria. Report of four Turkish adult patients. Neurologist. 2010; 16: 44-6.View Article  PubMed
 
[16]  Fujitake J., Ishikawa Y., Fujii H., et al. L-2-hydroxyglutaric aciduria: two Japanese adult cases in one family. J.Neurol 1999; 246: 378-382.View Article  PubMed
 
[17]  Meral Topçu., Florence Jobard., Sophie Halliez., Turgay Coskun, Cengiz Yalçinkayal, Filiz Ozbas Gerceker, Ronald J.A. Wanders, Jean-François Prud'homme, Mark Lathrop, Meral Özguc, Judith Fischer, L-2-Hydroxyglutaric aciduria: identification of a mutant gene C14orf160, localized on chromosome 14q22.1, Human Molecular Genetics, Volume 13, Issue 22, 15 November 2004, Pages 2803-2811.View Article  PubMed
 
[18]  Héla Fourati, Emna Ellouze, Mourad Ahmadi, Dhouha Chaari, Fatma Kamoun, Ines Hsairi, Chahnez Triki, Zeineb Mnif, MRI features in 17 patients with l2 hydroxyglutaric aciduria, European Journal of Radiology Open,Volume 3,2016,Pages 245-250, ISSN 2352-0477.View Article  PubMed
 
[19]  Canda, Ebru & Kose, Melis & Yazıcı, Havva & Er, Esra & Eraslan, Cenk & Ucar, Sema & Habif, Sara & Karaca, Emin & Onay, Hüseyin & Ozkinay, Ferda & Coker, Mahmut. (2018). Clinical, Neuroimaging, And Genetic Features of Patients With L-2-Hydroxyglutaric Aciduria. The Journal of Pediatric Research. 5. 10.4274/jpr.59454.View Article
 
[20]  László Sztriha, Aithala Gururaj, Peter Vreken, Michael Nork, Gilles G Lestringant,l-2-hydroxyglutaric aciduria in two siblings,Pediatric Neurology,Volume 27, Issue 2, 2002, Pages 141-144.View Article
 
[21]  Aghili 1, Zahedi F, Rafiee E. Hydroxyglutaric aciduria and malignant brain tumor: a case report and literature review. J Neurooncol 2009; 91: 233-6.View Article  PubMed
 
[22]  Haliloglu G, Jobard F, Oguz KK, et al. L-2-hydroxyglutaric aciduria and brain tumors in children with mutations in the L2HGDH gene: neuroimaging findings. Neuropediatrics 2008; 39: 119-22.View Article  PubMed
 
[23]  Moroni I, Bugiani M, D’Incerti L, et al. L-2-hydroxyglutaric aciduria and brain malignant tumors: a predisposing condition? Neurology 2004; 62: 1882-4.View Article  PubMed