Metabolic DDx of Neonatal seizures
Small molecule disorders
- Amino acid disorders
- maple syrup urine disease (MSUD)
- cobalamin-defect (hyperhomocysteinemia, methylmalonic aciduria)
- Organic acid disorders (later onset seizures)
- methylmalonic acid
- propionic acid
- isovaleric acid
- Hyperammonemia
- organic acidopathies
- carnitine deficiency
- effect of seizures
- valproic acid-induced
- liver failure
- Sulfites (check urine S-sulfocysteine levels)
- molybdenum cofactor deficiency
- sulfide oxidase deficiency
- xantene oxidase deficiency
Large molecule disorders
- Oligosaccharidoses, e.g., GM1-gangliosidosis
Others
- Peroxisomal disorders, e.g., Zellweger
- Menke's
- Rett's
- Neurotransmitter disorders
Entry date: June 5, 2005.