RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Marciniak, Bruno A1 Dalens, Bernard J. SR Print(0) ID 58084475 T1 Pyruvate Carboxylase Deficiency T2 Syndromes: Rapid Recognition and Perioperative Implications YR 2006 FD 2006 PB The McGraw-Hill Companies PP New York, NY SN 9780071354554 LK accessanesthesiology.mhmedical.com/content.aspx?aid=58084475 RD 2024/04/20 AB Mitochondrial disease impairing synthetic pathways and leading to hypoglycemia and severe lactic acidosis. Clinically characterized by seizures, neuromuscular incoordination, abnormal eye movements, and poor response to visual stimuli. Other clinical features include lethargy, vomiting, and poor feeding. Apnea, dyspnea and/or respiratory depression complete the presentation.