Yield of additional metabolic studies in neurodevelopmental disorders

Ann Neurol. 2008 Aug;64(2):212-7. doi: 10.1002/ana.21435.

Abstract

The timing and yield of metabolic studies for patients with neurodevelopmental disorders is a matter of continuing debate. We determined the yield of additional or repeated metabolic studies in patients with neurodevelopmental disorders. Patients referred to a tertiary diagnostic center for patients with unexplained neurodevelopmental disorders were included. Initial metabolic studies had been performed in most patients (87%) before referral. Additional/repeated metabolic studies were individually tailored. Twelve metabolic diseases of 433 patients studied (2.8%) were diagnosed, despite normal initial metabolic studies before referral. Specific metabolic investigations lead to a greater diagnostic yield in patients with neurodevelopmental disorders.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Brain Diseases, Metabolic / diagnosis
  • Brain Diseases, Metabolic / genetics
  • Brain Diseases, Metabolic / metabolism
  • Child
  • Child, Preschool
  • Developmental Disabilities / diagnosis*
  • Developmental Disabilities / genetics
  • Developmental Disabilities / metabolism*
  • Female
  • Humans
  • Infant
  • Intellectual Disability / diagnosis
  • Intellectual Disability / genetics
  • Intellectual Disability / metabolism
  • Learning Disabilities / diagnosis
  • Learning Disabilities / genetics
  • Learning Disabilities / metabolism
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / genetics
  • Mental Disorders / metabolism
  • Metabolic Diseases / diagnosis*
  • Metabolic Diseases / genetics
  • Metabolic Diseases / metabolism*