Research Article

Etiological Analysis of Neurodevelopmental Disabilities: Single-Center Eight-Year Clinical Experience in South China

Table 4

Feature of etiology distribution in the patients with IEMs in Table 3.

CategoriesDiseasesCasesMajor diagnostic evidencesClinical outcomes

Disorders of Carbohydrate metabolismGalactosemia1Clinical features including congenital cataract and leukodystrophy, and GC-MS analysisLost contact
Fructosuria2GC-MS analysisBoth lost contact

Disorders of Amino acid metabolismPhenylketonuria7GC-MS analysis in 6 cases, and PAH gene analysis in 1 caseReferred to local network of management and 2 died after treatment withdrawal
Histidinemia1Repeated MS-MS analysisLost contact
Hyperhomocysteinemia2Total plasma homocysteine levels and MS-MS analysis1 died, and 1 stable without obvious clinical or biochemical improvement
Pyroglutamic acidemia1GC-MS analysisLost contact
Tyrosinemia type I1GC-MS and MS-MS findingsDied due to acute liver failure
Hyperglycinemia1GC-MS and MS-MS analysisIntractable seizures and behavioral problem
Canavan’s disease1GC-MS analysisLost contact

Organic acidemiaMethylmalonic acidemia11GC-MS, MS-MS and MMACHC gene analysis, with 5 combined with hyperhomocysteinemia5 died after withdrawal of treatment, 3 improved and 3 lost contact
Maple syrup urine disease2GC-MS and MS-MS analysisBoth died
Ethylmalonic acidemia1GC-MS analysisLost contact
Propionic acidemia3GC-MS analysis2 stable with episodic hyperammonemia, and 1 lost contact
Glutaric acidemia type I2GC-MS and MS-MS analysis1 lost contact and 1 stable
Glutaric acidemia type II1GC-MS analysisStable
2-hydroxyglutaric acidemia1GC-MS analysisLost contact
4-hydroxybutyric aciduria1GC-MS and ALDH5A1 gene analysisStable but with seizure episodes
Multiple carboxylase deficiency4GC-MS, biotinidase activity, and HLCS gene analysis1 died, 3 recovered/improved clinically

Urea cycle disordersOTCD2GC-MS and MS-MS analysisRecovered clinically
Hyperammonemia4Markedly increased serum ammonia levels, but with etiologies undetermined yetAll lost contact
Citrin deficiency2SLC25A13 mutation analysis1 died due to liver cirrhosis, 1 improved

Mitochondrial diseaseLeigh syndrome5Clinical and imaging features, serum/CSF lactate levels, and electronic microscopy findings on muscle biopsy samples3 died already, and the remaining 2 stable at follow-up

Lysosome storage diseasesMucopolysaccharidosis type I1Typical clinical manifestationsImproved after bone marrow transplantation
Mucopolysaccharidosis type II2Activity analysis of iduronate-2-sulphataseLost contact

Peroxisomal disordersX-linked adrenoleukodystrophy2Clinical manifestations, CT/MRI findings, and MS-MS analysis of VLCFABoth Died

OthersGlyceroluria4GC-MS analysis1 died after severe infection, 3 lost contact
3-aminoisobutyric aciduria1GC-MS analysisLost contact

Some diseases have been reported in [6] as GC-MS screening results, and this list herein is the latest update of our findings, just focusing on the IEMs associated with NDDs.