PT - JOURNAL ARTICLE AU - Triggs, W J AU - Roe, C R AU - Rhead, W J AU - Hanson, S K AU - Lin, S N AU - Willmore, L J TI - Neuropsychiatric manifestations of defect in mitochondrial beta oxidation response to riboflavin. AID - 10.1136/jnnp.55.3.209 DP - 1992 Mar 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 209--211 VI - 55 IP - 3 4099 - http://jnnp.bmj.com/content/55/3/209.short 4100 - http://jnnp.bmj.com/content/55/3/209.full SO - J Neurol Neurosurg Psychiatry1992 Mar 01; 55 AB - A 29 year old woman is described with severe hyperemesis gravidarum, atypical migraine, numerous admissions to hospital for psychiatric illness, non-epileptic seizures, and valproate-induced coma. Metabolic studies and measurement of [9,10(n)-3H]palmitate oxidation by cultured fibroblasts suggested a multiple acyl-CoA dehydrogenation disorder. Treatment with riboflavin abolished headaches and abnormal behaviour and normalised the plasma free carnitine level. Subtle defects in mitochondrial beta oxidation may be a treatable cause of disordered behaviour in adults.