{"0": "Sensorimotor neuropathy", "1": "Increased csf lactate", "2": "Disproportionate short stature", "3": "Proportionate short stature", "4": "Increased serum pyruvate", "5": "Toe walking", "6": "Episodic vomiting", "7": "Abnormal csf metabolite level", "8": "Abnormality of the metaphysis", "9": "Decreased activity of mitochondrial complex i", "10": "Bulbar signs", "11": "Tachycardia", "12": "Abnormal renal cortex morphology", "13": "Optic disc pallor", "14": "Clonus", "15": "Submucous cleft of soft and hard palate", "16": "Proximal tubulopathy", "17": "Contractures of the joints of the upper limbs", "18": "Micromelia", "19": "Abnormal activity of mitochondrial respiratory chain", "20": "Abnormality of the calf", "21": "Abnormal circulating carbohydrate concentration", "22": "Abnormal csf protein level", "23": "Goiter", "24": "Mitochondrial myopathy", "25": "Abnormal muscle fiber morphology", "26": "Slender long bone", "27": "Abnormal femoral neck head morphology", "28": "Abnormality of the ribs", "29": "Anophthalmia", "30": "Aplasia hypoplasia of the skin", "31": "Muscle abnormality related to mitochondrial dysfunction", "32": "Severe short stature", "33": "Lissencephaly", "34": "Abnormal femoral neck morphology", "35": "Erythema", "36": "Aplasia hypoplasia of the femur", "37": "Agitation", "38": "Young adult onset", "39": "Recurrent fractures", "40": "Aplasia hypoplasia involving the pelvis", "41": "Abnormal femoral head morphology", "42": "Parkinsonism", "43": "Abnormal urine ph", "44": "Vascular neoplasm", "45": "Ventricular arrhythmia", "46": "Generalized muscle weakness", "47": "Glomerular sclerosis", "48": "Dementia", "49": "Amyotrophic lateral sclerosis"}