TY - CHAP M1 - Book, Section TI - Alpha-Ketoglutarate Dehydrogenase Deficiency A1 - Bissonnette, Bruno A1 - Luginbuehl, Igor A1 - Marciniak, Bruno A1 - Dalens, Bernard J. PY - 2006 T2 - Syndromes: Rapid Recognition and Perioperative Implications AB - Characterized by hypotonia, metabolic acidosis, and hyperlactatemia immediately after birth. The life expectancy is limited to about 30 months of age. Death is caused by neurologic deterioration. Other clinical features include axial hypotonia with no head control until late in childhood. Metabolic acidosis with acute episodes of acidotic decompensation and sometimes hypoglycemia may occur during infections. Low plasmatic molar ratios of ketone bodies in neonate with congenital lactic acidosis have been suggested as an indicator of dysfunction of the tricarboxylic acid cycle. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/20 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=58062347 ER -