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Moderate short-term clinical improvement was obtained with dietary methionine restriction and cysteine supplementation in a 5-month-old-girl with molybdenum cofactor deficiency (MoCD) treated at Yale University School of Medicine, New Haven, CT. Born to first-cousin parents, the infant's head circumference fell from the 25th percentile at birth to <5th at age 2 months. Developmental delay, spastic quadriplegia, opisthotonus, and irritability were remarkable at 3 months, and a CT showed multipledoi:10.15844/pedneurbriefs-7-12-7 fatcat:vywtpdlmaza2nioijzw5e2e5ga