
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
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
- 1Talk with your doctor
Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.
- 2See a specialist
Specialists who may be involved include genetic specialists.
- 3Consider 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
Quick facts
It is caused by changes in the CPS1 gene. It is autosomal recessive, so a child inherits a changed copy from each parent.
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
- National Urea Cycle Disorders FoundationCongenital hyperammonemia, type I · United States
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Perspectives from people navigating life with Congenital hyperammonemia, type I.
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