“…It is recommended to rule out metabolic disorders in autistic patients who have dysmorphism, microcephaly, ataxia, epilepsy, and severe ID, but not in patients with non-syndromic autism [3,4]. The metabolic investigations used for autism are serum creatinine, cholesterol, lactate, ammonia, amino acids, acylcarnitine, urine mucopolysaccharides, and organic acids [5]. The serum creatinine level should be determined in autistic children to diagnose Cerebral creatine deficiency syndromes (CDS) characterized by developmental delays, seizures, and autism.…”