Acute infantile hemiplegia in a patient with propionic acidaemia


A 10-month-old girl with mild developmental delay became hemiplegic after seizures. Cranial CT scan and magnetic resonance imaging (MRI) revealed no lesions related to vascular diseases, but brain atrophy on the right side was remarkable. Digital subtraction angiography showed slightly decreased visualization of peripheral branches of the right medial cerebral artery. Propionic acidaemia was diagnosed on the basis of high plasma levels of propionic acid and its metabolites and the elevated urinary excretion of these acids. With therapy, the levels of these acids fell, and her left hemiplegia disappeared 3 months later.

DOI: 10.1007/BF02034758

2 Figures and Tables


Citations per Year

574 Citations

Semantic Scholar estimates that this publication has 574 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Shigematsu1990AcuteIH, title={Acute infantile hemiplegia in a patient with propionic acidaemia}, author={Yosuke Shigematsu and Ichirou Mori and Akio Nakai and Yoshiharu Kikawa and Masaru Kuriyama and Yu Konishi and Tatsuya Fujii and Masakatsu Sudo}, journal={European Journal of Pediatrics}, year={1990}, volume={149}, pages={659-660} }