A rare inborn error of metabolism characterized by persistent hypermethioninemia with increased levels of S-adenosylmethionine and S-adenosylhomocysteine which manifests with encephalopathy, severe global developmental delay, mild to severe liver dysfunction, hypotonia and facial dysmorphism (most significant is frontal bossing, macrocephaly, hypertelorism and depressed nasal bridge). Epileptic seizures, hypoglycemia and/or cardiac defects (pulmonary stenosis, atrial and/or ventricular septal defect, coarctation of the aorta) may be associated. Clinical picture may range from neurological symptoms only to multi-organ involvement.
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intellectual disability, autosomal recessive 1
MONDO:0009580
glycine N-methyltransferase deficiency
MONDO:0011698
intellectual disability, autosomal recessive 2
MONDO:0011828
intellectual disability, autosomal recessive 3
MONDO:0012037
intellectual disability, autosomal recessive 12
MONDO:0012612
intellectual disability, autosomal recessive 5
MONDO:0012613