{"0": "Abnormality of coordination", "1": "Paroxysmal involuntary eye movements", "2": "Cherry red spot of the macula", "3": "Focal t2 hyperintense brainstem lesion", "4": "Abnormal csf protein level", "5": "Pathologic fracture", "6": "Clumsiness", "7": "Abnormality of glycolipid metabolism", "8": "Periventricular white matter hyperintensities", "9": "Abnormal tissue metabolite concentration", "10": "Proximal tubulopathy", "11": "Abnormality of the thenar eminence", "12": "Hypocholesterolemia", "13": "Progressive neurologic deterioration", "14": "Progressive gait ataxia", "15": "Arteriosclerosis", "16": "Supranuclear gaze palsy", "17": "Capillary hemangioma", "18": "Loss of speech", "19": "Abnormal mitochondria in muscle tissue", "20": "Erythroid hypoplasia", "21": "Nonimmune hydrops fetalis", "22": "Bulbar signs", "23": "Abnormal biliary tract morphology", "24": "Muscle stiffness", "25": "Ragged red muscle fibers", "26": "Ectrodactyly", "27": "Progressive psychomotor deterioration", "28": "Pure red cell aplasia", "29": "Neck muscle weakness", "30": "Abnormal protein glycosylation", "31": "Emg chronic denervation signs", "32": "Abnormal glycosylation", "33": "Infantile axial hypotonia", "34": "Limb ataxia", "35": "Hypokinesia", "36": "Persistence of hemoglobin f", "37": "Fluctuations in consciousness", "38": "Abnormal metabolic brain imaging by mrs", "39": "Peripheral demyelination", "40": "Hyperintensity of cerebral white matter on mri", "41": "Myoclonic spasms", "42": "Neuronal loss in central nervous system", "43": "Reticulocytopenia", "44": "Abnormal brainstem mri signal intensity", "45": "Osteosarcoma", "46": "Hemianopia", "47": "Abnormal erythrocyte enzyme level", "48": "Shoulder girdle muscle weakness", "49": "Delusions"}