Ornithine transcarbamylase deficiency (OTCD): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ornithine transcarbamylase deficiency (OTCD): treatment. Calories, Essential amino acids, Minerals, Vitamins. Fully referenced neurology checklist.

Nutritional supplementation

  • Calories
  • Essential amino acids
  • Minerals
  • Vitamins
  • Long-chain polyunsaturated fatty acids

Treatment: sodium scavenging drugs

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Treatment: others

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Treatment of crises

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Investigational treatments

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References

  1. Lamb S, Aye CY, Murphy E, Mackillop L. Multidisciplinary management of ornithine transcarbamylase (OTC) deficiency in pregnancy: essential to prevent hyperammonemic complications. BMJ Case Rep 2013; 2013: bcr2012007416.
  2. Summar ML, Dobbelaere D, Brusilow S, Lee B. Diagnosis, symptoms, frequency and mortality of 260 patients with urea cycle disorders from a 21-year, multicentre study of acute hyperammonaemic episodes. Acta Paediatr 2008; 97:1420-1425.
  3. Takanashi J, Barkovich AJ, Cheng SF, Kostiner D, Baker JC, Packman S. Brain MR imaging in acute hyperammonemic encephalopathy arising from late-onset ornithine transcarbamylase deficiency. AJNR 2003; 24:390-393.
  4. Feigenbaum A. Challenges of managing ornithine transcarbamylase deficiency in female heterozygotes. Mol Genet Metab Rep 2022; 33(Suppl 1):100941.

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