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From the Departments of Neurology (Dr. Külkens), Neuroradiology (Dr. Harting), and General Pediatrics, Division of Inborn Metabolic Diseases (S. Sauer, and Drs. Hoffmann and Kölker), and Institute of Human Genetics (Dr. Zschocke), University of Heidelberg, Germany; and Department of General Pediatrics (Drs. Gruber and Bodamer), University Childrens Hospital Vienna, Austria.
Address correspondence and reprint requests to Dr. Stefan Kölker, University Childrens Hospital, Department of General Pediatrics, Division of Inborn Metabolic Diseases, Im Neuenheimer Feld 150, D-69120 Heidelberg, Germany; e-mail: Stefan_Koelker{at}med.uni-heidelberg.de
Neurologic disease in glutaryl-CoA dehydrogenase (GCDH) deficiency usually presents with acute encephalopathic crises before 2 years of age. The authors report two previously asymptomatic patients with macrocephaly presenting with progressive neurologic deterioration and a severe leukoencephalopathy during adolescence or adulthood.
*Both authors contributed equally to this study.
Supported by the German Federal Ministry of Education and Science (BMBF, #01GM0305, project #8) and the German Research Council (DFG, #KO 2010/2-1) to S.K.
Received January 4, 2004. Accepted in final form March 25, 2005.
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