RT Journal Article SR Electronic T1 Adult onset ornithine transcarbamylase deficiency: an unusual cause of semantic disorders JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 1073 OP 1075 DO 10.1136/jnnp.2003.026542 VO 75 IS 7 A1 Rimbaux, S A1 Hommet, C A1 Perrier, D A1 Cottier, J P A1 Legras, A A1 Labarthe, F A1 Lemarcis, L A1 Autret, A A1 Maillot, F YR 2004 UL http://jnnp.bmj.com/content/75/7/1073.abstract AB Ornithine transcarbamylase deficiency (OTCD) is the most common urea cycle disorder. This condition usually presents in neonates or children. This report describes the clinical case of a 21 year old woman who was diagnosed in adulthood during the course of an unexplained coma. After recovery from the coma, she presented very unusual neuropsychological disorders involving memory and the meaning of certain words, suggesting a semantic deficit. The discovery of OTCD in adulthood is rare and the neuropsychological consequences may be unique.