| 3-hydroxy-3-methyglutaryl-CoA lyase deficiency | CNS | Hypoglycemia | Developmental delay, hypotonia |
| 3-methylcrotonyl-CoA carboxylase deficiency | CNS | Hypoglycemia | Developmental delay, hypotonia; many asymptomatic |
| Beta-ketothiolase deficiency | CNS | Hypoglycemia | Motor deficits, mental retardation |
| Glutaric acidemia type I | CNS | Acidosis | Motor deficits, severe dystonia; cognition often intact |
| Isovaleric acidemia | CNS | Acidosis, hyperammonemia, sweaty feet odor | Developmental delay, motor deficits, mental retardation |
| Methylmalonic acidemia | CNS | Acidosis, hyperammonemia | Developmental delay, mental retardation, movement disorders |
| Propionic acidemia | CNS | Acidosis, hyperammonemia | Developmental delay, mental retardation, speech defects |