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Department of Neurology (Drs. Koike, Fujimori, Yuaaa, and Miyatake), Brain Research Institute, Niigata University, Niigata, and the Department of Biochemistry (Drs. Inoue and Saheki), Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
Two siblings with hyperornithinemia, hyperammonemia, and homocitrullinuria are reported. The clinical picture included protein intolerance, mental retardation, seizures, and stuporous episodes. One patient had cerebellar ataxia, myoclonus, convulsive seizure, and muscular weakness in both legs. Isolated liver mitochondria in the patient revealed that ornithine transport and citrulline synthesis were decreased, but urea cycle enzymes and ornithine aminotransferase were normal. Ornithine metabolism was decreased in cultured skin fibroblasts.
Address correspondence and reprint requests to Dr. Koike, Department of Neurology, Brain Research Institute, Niigata University, Asahimach 1, Niigata, 951 Japan.
Supported by a research grant from the Ministry of Health and Welfare, Japan.
Received November 17, 1986. Accepted for publication in final form February 12, 1987.
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