Molecular basis : Caused by mutation in the GTP cyclohydrolase I gene (GCH1, 600225.0001);
Laboratory abnormalities : Decreased tetrahydrobiopterin (BH4) in CSF; Decreased homovanillic acid (HVA) in CSF; 5-HIAA CSF may be normal or decreased; Decreased GTP cyclohydrolase I activity (about 20% of normal); Transient hyperphenylalaninemia occurs on oral loading test with phenylalanine;