Skip to content
knowrare
HealthSignal
Your condition community

Living with Congenital hyperammonemia, type I

An inherited condition (CPS I deficiency) in which ammonia builds up in the blood, which can affect the brain.

Understanding Congenital hyperammonemia, type I

Carbamoyl phosphate synthetase I deficiency, called congenital hyperammonemia type I, is an inherited disorder that causes ammonia to build up in the blood.

Ammonia forms when proteins break down and is harmful in high amounts, especially to the brain. In the first days of life, babies may be unusually sleepy, refuse feeding, vomit, have unusual movements or seizures. Symptoms can come back during infections or stress, or if diet is not carefully managed. Some people have milder symptoms that appear later in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low muscle tone (hypotonia)
  • Breathing problems (respiratory insufficiency)
  • Seizures
  • Unusual sleepiness and refusing to feed
  • Vomiting after feeding
  • Developmental delay and intellectual disability

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in CPS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Urea Cycle Disorders Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have genetic testing for the CPS1 gene?
What diet and medicines help keep ammonia low?
What should we do during an illness or stress?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesCPS1

It is caused by changes in the CPS1 gene. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticInherited Metabolic

Also known as: carbamoyl phosphate synthetase 1 deficiency; carbamoyl phosphate synthetase deficiency; carbamoyl phosphate synthetase i deficiency disease; carbamoyl-phosphate synthase deficiency disease; carbamoyl-phosphate synthase i deficiency; carbamoyl-phosphate synthetase 1 deficiency

Patient organizations

Source: NIH GARD · Congenital hyperammonemia, type IGARD ID 7269 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital hyperammonemia, type I.

Explore the Congenital hyperammonemia, type I blog

Explore research for Congenital hyperammonemia, type I

Explore actively recruiting Congenital hyperammonemia, type I studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital hyperammonemia, type I with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Congenital hyperammonemia, type I studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Congenital hyperammonemia, type I

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Congenital hyperammonemia, type I

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Congenital hyperammonemia, type I experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.