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GTR Home > Tests > NGS Neurodegenerative disorders Multi-Gene Panel (73 genes)

Indication

This is a clinical test intended for Help: Diagnosis

Clinical summary

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Imported from OMIM

Carbamoyl phosphate synthetase I deficiency is an autosomal recessive inborn error of metabolism of the urea cycle which causes hyperammonemia. There are 2 main forms: a lethal neonatal type and a less severe, delayed-onset type (summary by Klaus et al., 2009). Urea cycle disorders are characterized by the triad of hyperammonemia, encephalopathy, and respiratory alkalosis. Five disorders involving different defects in the biosynthesis of the enzymes of the urea cycle have been described: ornithine transcarbamylase deficiency (311250), carbamyl phosphate synthetase deficiency, argininosuccinate synthetase deficiency, or citrullinemia (215700), argininosuccinate lyase deficiency (207900), and arginase deficiency (207800).

Clinical features

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Imported from Human Phenotype Ontology (HPO)

  • Respiratory alkalosis
  • Cerebral edema
  • Cerebellar ataxia
  • Coma
  • Lethargy
  • Seizure
  • Stroke
  • Vomiting
  • Global developmental delay
  • Protein avoidance
  • Low plasma citrulline
  • Episodic ammonia intoxication
  • Failure to thrive
  • Irritability
  • Intellectual disability
  • Hypoargininemia
  • Hyperammonemia
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Inheritance pattern

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Autosomal recessive inheritance

Conditions tested

Target population

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Multi-Gene Panel for 49 Treatable Metabolic Neurodegenerative disorders.

Citations

Not provided

Clinical validity

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Not provided

Clinical utility

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Not provided

Practice guidelines

  • ACMG Algorithm, 2022
    American College of Medical Genetics and Genomics, Algorithm, Decreased Citrulline, 2022
  • ACMG ACT, 2022
    American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Decreased Citrulline, 2022
  • ACMG ACT, 2012
    American College of Medical Genetics and Genomics, Transition to Adult Health Care ACT Sheet, Carbamoyl Phosphate Synthetase I (CPS I) Deficiency, 2012

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