{"0": "Increased serum lactate", "1": "Hypertrophic cardiomyopathy", "2": "Abnormality of the cerebrospinal fluid", "3": "Hypocholesterolemia", "4": "Hypoketotic hypoglycemia", "5": "Capillary hemangioma", "6": "Bulbar signs", "7": "Fluctuations in consciousness", "8": "Cognitive impairment", "9": "Abnormality of the umbilical cord", "10": "Abnormality of the mitochondrion", "11": "Postaxial foot polydactyly", "12": "Abnormality of the 5th toe", "13": "Central scotoma", "14": "Respiratory arrest", "15": "Decreased absent ankle reflexes", "16": "Functional motor deficit", "17": "Young adult onset", "18": "Ragged red muscle fibers", "19": "Abnormal cellular phenotype", "20": "Myoclonus", "21": "Prenatal maternal abnormality", "22": "Abnormal pericardium morphology", "23": "Reduced visual acuity", "24": "Reduced consciousness confusion", "25": "Abnormal csf protein level", "26": "Limb pain", "27": "Polyneuropathy", "28": "Progressive sensorineural hearing impairment", "29": "Postural tremor", "30": "Decreased circulating level of specific antibody", "31": "Abnormal circulating protein concentration", "32": "Abnormality of the achilles tendon", "33": "Decreased plasma carnitine", "34": "Toe walking", "35": "Peripheral demyelination", "36": "Achilles tendon contracture", "37": "Retinal dysplasia", "38": "Abnormal atrioventricular conduction", "39": "Abnormal brain lactate level by mrs", "40": "Abnormal caudate nucleus morphology", "41": "Abnormality of circulating enzyme level", "42": "Abnormality of acid base homeostasis", "43": "Prominent superficial blood vessels", "44": "Abnormal circulating fatty acid anion concentration", "45": "Delusions", "46": "Cerebellar atrophy", "47": "Impaired vibration sensation in the lower limbs", "48": "Abnormal pyramidal sign", "49": "Weakness due to upper motor neuron dysfunction"}