“…Encephalopathy, cardiomyopathy, and ophthalmoplegia were not present. Reduced muscle activity for Complex I was present in 28, [4][5][6]10,23,24,27,28,34,35,39,40 C o m p l e x I I i n 3 , 3 , 1 4 , 1 7 C o m p l e x I I I i n 10, 8,11,12,19,22,26,28,31 Complex IV in 1, 6 and Complex V in 1 36 patient. Reduced muscle Complex I and IV activity, 32 Complex I, II, and III activity, 33 and Complex I, III, and IV activity 18,32,38 have also been reported.…”