Skip to main content

Table 2 Adult case-reports of late onset urea cycle disorders

From: Management of late onset urea cycle disorders—a remaining challenge for the intensivist?

Ref

Sex

Age

Acute symptoms

Maximal ammonia

Brain edema

Defective enzyme

Acute treatment

Dialysis

Outcome

1

[34]

M

48

Coma, headache, S, N, V

497

Yes

ORNT1

B

Yes

F

2

[33]

F

19

N, V

ND

Yes

OTC

Other

No

D

3

[32]

F

52

BA, headache, S, N, V

330

No

NAGS

B

No

F

4

[31]

M

69

N, V

293

No

OTC

Other

Yes

F

5

[30]

M

66

Coma, BA, S

494

Yes

OTC

Other

Yes

F

6

[29]

M

60

Coma

158

Yes

ARG

B

No

F

7

[7]

M

67

S

ND

Yes

OTC

Other

No

F

8

[28]

F

52

Coma

684

No

OTC

Other

No

F

9

[1]

F

39

Coma, N, V

288

No

OTC

B

Yes

F

10

[27]

K

62

Behavior, S

154

No

CITRIN

Other

No

F

11

[26]

F

73

Coma, Behavior

147

No

CITRIN

Other

Yes

F

12

[6]

F

59

Coma

280

No

NAGS

B

No

F

13

[25]

M

31

BA

598

No

CITRIN

Other

No

F

14

[24]

F

48

BA, headache

500

No

CITRIN

B + LT

No

F

15

[23]

M

38

BA, headache, N, V

434

No

NAGS

PB

No

F

16

[22]

M

28

Coma

683

Yes

CPS1

B + PB

No

D

17

[21]

M

49

Coma

254

No

OTC

B

Yes

D

18

[20]

F

35

BA, headache

224

No

CPS1

B + PB

No

F

19

[19]

M

59

Coma, S, N, V

228

No

OTC

B

Yes

F

20

[18]

F

23

Headache, V

477

No

OTC

B + PB

No

F

21

[17]

M

47

S, V

541

Yes

OTC

Yes

F

22

[16]

M

49

S, N

157

No

CPS1

B + LT

No

F

23

[15]

M

45

S

628

Yes

OTC

No

D

24

[14]

F

31

Other

179

No

OTC

PB

No

F

25

[13]

M

17

S, N, V, Coma

787

Yes

OTC

B

Yes

D

26

[12]

M

63

S, coma

1447

Yes

OTC

B + PB

Yes

D

27

[11]

F

28

Coma

281

No

OTC

B + PB

Yes

F

28

[10]

F

60

S, BA, Coma, N, V

256

No

CPS1

B + PB

Yes

D

29

[9]

F

25

N, V

150

No

CITRIN

PB

No

F

30

[53]

M

36

BA

696

No

OTC

B + PB

No

F

31

[54]

F

18

S,N,V

23

No

ARG

Other

No

F

32

[55]

F

40

BA, Coma

300

No

CITRIN

Other

No

F

33

[56]

M

40

BA, Coma

390

No

OTC

B

Yes

F

34

[57]

F

21

Coma, N, V

510

No

OTC

B

No

F

35

[58]

M

34

BA, Coma

2210

Yes

CITRIN

Other

No

D

36

[59]

F

21

S, BA, Coma

698

Yes

CITRIN

LT

No

F

37

[60]

M

31

BA

396

Yes

CITRIN

Other

No

D

38

[61]

M

31

Other

263

No

CITRIN

LT

No

F

39

[62]

M

41

BA

483

No

CITRIN

B

Yes

F

40

[63]

F

40

S, BA

234

No

CIRTIN

Other

No

F

  1. M: male; F: female; S: seizure; N: nausea; V: vomiting, BA: behavioral abnormalities; ORNT1: ornithine transporter 1; OTC: ornithine transcarbamylase; NAGS: N-Acetylglutamate synthase; ARG: arginase; CITRIN: aspartate/glutamate carrier; CPSI: Carbamyl phosphate synthetase 1; B: benzoate; PB: phenylbutyrate; LT: liver transplantation; D: died; F: favorable