RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164067394 T1 D-2-Hydroxyglutaric Aciduria T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164067394 RD 2024/04/25 AB It is a rare neurometabolic disease caused by an increased level of hydroxyglutaric acid in the urine. It is one of the isomeric forms of the 2-hydroxyglutaric aciduria. Clinically, the D-2-hydroxyglutaric aciduria has two phenotypes, mild and severe. Affected individuals present depending on the phenotype variable clinical manifestation. The severe types include psychomotor retardation, generalized hypotonia, macrocephaly, cardiomyopathy, and cortical blindness. Other features include abnormalities of the cerebrum and seizures. The mild phenotype has variable symptomatology.