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{"0": "Mental deterioration", "1": "Optic disc pallor", "2": "Abnormality of the mitochondrion", "3": "Hepatic failure", "4": "Ragged red muscle fibers", "5": "Abnormality of hepatobiliary system physiology", "6": "Postural tremor", "7": "Dementia", "8": "Abnormal activity of mitochondrial respiratory chain", "9": "Cognitive impairment", "10": "Hepatomegaly", "11": "Muscle abnormality related to mitochondrial dysfunction", "12": "Action tremor", "13": "Bulbar signs", "14": "Sensorimotor neuropathy", "15": "Hypertrophic cardiomyopathy", "16": "Increased csf lactate", "17": "Increased serum lactate", "18": "Peripheral demyelination", "19": "Ventricular arrhythmia", "20": "Horizontal nystagmus", "21": "Abnormality of the cerebrospinal fluid", "22": "Mitochondrial myopathy", "23": "Ascites", "24": "Optic neuropathy", "25": "Dilated cardiomyopathy", "26": "Abnormal csf metabolite level", "27": "Abnormal cellular phenotype", "28": "Abnormal tissue metabolite concentration", "29": "Proximal tubulopathy", "30": "Decreased activity of mitochondrial complex i", "31": "Abnormal metabolic brain imaging by mrs", "32": "Abnormal circulating lipid concentration", "33": "Abnormal basal ganglia mri signal intensity", "34": "Poor head control", "35": "Progressive visual loss", "36": "Progressive gait ataxia", "37": "Reduced visual acuity", "38": "Cardiac conduction abnormality", "39": "Muscle stiffness", "40": "Abnormal retinal artery morphology", "41": "Focal t2 hyperintense basal ganglia lesion", "42": "Abnormal csf protein level", "43": "Abnormal brainstem mri signal intensity", "44": "Focal t2 hyperintense brainstem lesion", "45": "Muscle spasm", "46": "Clumsiness", "47": "Impaired proprioception", "48": "Abnormal epiphyseal ossification", "49": "Loss of speech"}